DR. JORDAN A AUTREY (NPI# 1295169050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295169050 |
| Entity Type | Individual |
| Full Name | DR. JORDAN A AUTREY |
| Credential | PHARM. D |
| Practice Address |
129 S. Chestnut Street Kimball NE 69145 |
| Practice Telephone | 3082353936 |
| Practice Fax Number | 3082354886 |
| Mailing Telephone | 3082353936 |
| Mailing Fax Number | 3082354886 |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-08-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 13717 | NE | Pharmacy Service Providers |
| Street Address |
129 S. CHESTNUT STREET |
| City | KIMBALL |
| State | NE |
| Zip Code | 69145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720004674 | Bemis Drug LLC | Durable Medical Equipment & Medical Supplies | 129 S. Chestnut Street, Kimball, NE 69145 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164843504 | Christine Ellen Douglas | Dietitian, Registered | 505 S. Burg Street, Kimball Health Services At, Kimball, NE 69145 | 2014-01-03 |
| 1720067556 | Gayle L Perkins | Physician Assistant | 505 S Burg St, Kimball, NE 69145 | 2006-01-11 |
| 1386846525 | Lisa M Smith-schohl | Physician Assistant | 505 S Burg St, Kimball, NE 69145 | 2007-06-01 |
| 1891246914 | Highpoint Family Medicine LLC | Family Medicine | 111 E 2nd St, Kimball, NE 69145-1208 | 2016-10-24 |
| 1639413941 | Highpoint Spine and Joint Center, P.C. | Chiropractor | 111 E 2nd St, Kimball, NE 69145-1208 | 2012-11-27 |
| 1669709879 | Ryan Michael Behrend | Chiropractor | 111 E 2nd St, Kimball, NE 69145-1208 | 2009-11-09 |
| 1417339821 | Panhandle Mental Health Center | Community/Behavioral Health | 414 W 2nd St, Kimball, NE 69145-1247 | 2015-06-22 |
| 1245440528 | Kimball Family Dentistry P.C. | Dentist | 416 W 2nd St, Kimball, NE 69145-1247 | 2007-05-23 |
| 1780932897 | Adrian Lee Fuss | Dentist | 416 W 2nd St, Kimball, NE 69145-1247 | 2012-08-21 |
| 1932238714 | Walker Pharmacy Inc | Pharmacy | 129 S Chestnut St, Kimball, NE 69145-1256 | 2007-03-05 |
| Find all providers in zip 69145 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922630219 | Stephanie Ann Gemmete | Pharmacist | 4514 Gratiot Rd, Kimball, MI 48074-4508 | 2020-02-05 |
| 1487285342 | Martha Ann Fisher | Pharmacist | 4514 Gratiot Rd, Kimball, MI 48074-4508 | 2020-01-30 |
| 1780184945 | Lakshmi Devi Kumar | Pharmacist | 525 Kimball Crossing Dr, Kimball, TN 37347-5649 | 2018-02-14 |
| 1922507466 | Matthew Aaron Holt | Pharmacist | 525 Kimball Crossing Dr, Kimball, TN 37347-5649 | 2018-02-11 |
| 1962901439 | Blair Alysse Bryant | Pharmacist | 525 Kimball Crossing Dr, Kimball, TN 37347-5649 | 2018-02-09 |
| 1851491419 | William P White Jr. | Pharmacist | 5277 Lapeer Rd, Kimball, MI 48074-1422 | 2006-09-24 |
| 1861591828 | Karen J Hennesey | Pharmacist | 5277 Lapeer Rd, Kimball, MI 48074-1422 | 2006-09-22 |
| 1942307830 | Dennis Albert Vollmer | Pharmacist | 5277 Lapeer Rd, Kimball, MI 48074-1422 | 2006-09-20 |
| 1588762934 | Brenda Recker | Pharmacist | 5277 Lapeer Rd, Kimball, MI 48074-1422 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365249 | Kenneth Fuchtman | Pharmacist | 4969 S 174th Ave, Omaha, NE 68135-3463 | 2020-10-30 |
| 1073120796 | Derek Eugene Popken | Pharmacist | Nebraska Medicine, 987400 Nebraska Medical Center, Omaha, NE 68198-7400 | 2020-09-27 |
| 1427666767 | Eric Donald Schlegel | Pharmacist | 350 W 23rd St Ste E, Fremont, NE 68025-2592 | 2020-07-22 |
| 1184242950 | Adam Lee Goetz | Pharmacist | 225 S Bluff Str, Winnebago, NE 68071 | 2020-07-08 |
| 1073149688 | Anton Anderson | Pharmacist | 1301 W Norfolk Ave, Norfolk, NE 68701-4833 | 2020-03-14 |
| 1003441874 | Riddhi Prakashbhai | Pharmacist | 4578 S 60th St, Omaha, NE 68117-1217 | 2020-03-11 |
| 1871128199 | Kamy Niemeyer | Pharmacist | 5611 S 27th St, Lincoln, NE 68512-1613 | 2020-03-06 |
| 1083249569 | Katrina Johanna Keebler | Pharmacist | 8315 W Center Rd, Omaha, NE 68124-3111 | 2020-03-05 |
| 1235761982 | Amanda Scholtes | Pharmacist | 1005 Roland Dr, Papillion, NE 68046-6166 | 2020-02-11 |
| 1578103644 | Nathan L Suck | Pharmacist | 2115 S 61st St, Omaha, NE 68106-2129 | 2020-01-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.