Amelia Jolynn Hartmann, PHARMD
Individual provider Active NPI Pharmacist · Oswego, KS
NPI 1861882136 · NPPES record last updated Jan 26, 2015
Key facts
- NPI
- 1861882136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 1-15221 (KS)
- Practice address
- 413 Commercial St
Oswego, KS 67356-2017 - Phone
- (620) 795-2233
- Fax
- (620) 795-4910
- NPI assigned
- Jan 26, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-15221 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Four States Apothecary LLC | Past | Accepting new patients | |
| Steven G Charles | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-15221 | KS | Yes |
Addresses
Primary practice location
413 Commercial St
Oswego, KS 67356-2017
Mailing address
413 Commercial St
Oswego, KS 67356-2017
Phone (620) 795-2233
Other providers in Oswego, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.