Provider Demographics
NPI:1164886503
Name:HELM, JAMI J (PHARMD, CGP)
Entity Type:Individual
Prefix:
First Name:JAMI
Middle Name:J
Last Name:HELM
Suffix:
Gender:F
Credentials:PHARMD, CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 128
Mailing Address - Street 2:
Mailing Address - City:MONTEZUMA
Mailing Address - State:KS
Mailing Address - Zip Code:67867-0128
Mailing Address - Country:US
Mailing Address - Phone:620-846-2202
Mailing Address - Fax:620-846-7130
Practice Address - Street 1:300 N AZTEC ST
Practice Address - Street 2:
Practice Address - City:MONTEZUMA
Practice Address - State:KS
Practice Address - Zip Code:67867-8874
Practice Address - Country:US
Practice Address - Phone:620-846-2202
Practice Address - Fax:620-846-7130
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-12
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-13519183500000X
KS34271835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835G0303XPharmacy Service ProvidersPharmacistGeriatric