Mr Jeffrey Jay Dietrich, RPH - Pharmacist in Fort Leavenworth, KS

Mr Jeffrey Jay Dietrich, RPH is a Pharmacist based in Fort Leavenworth, Kansas. Mr Jeffrey Jay Dietrich is licensed to practice in Kansas (license number 11655) and his current practice location is 550 Pope Avenue, Munson Army Health Center, Fort Leavenworth, Kansas. He can be reached at his office (for appointments etc.) via phone at (913) 684-6562.

NPI number for Mr Jeffrey Jay Dietrich is 1477621894 and his current mailing address is 550 Pope Avenue, Munson Army Health Center, Fort Leavenworth, Kansas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1477621894.

Contact Information

Mr Jeffrey Jay Dietrich, RPH
550 Pope Avenue, Munson Army Health Center,
Fort Leavenworth, KS 66027-2332
(913) 684-6562
(913) 684-6208

Healthcare Provider's Profile

Full NameMr Jeffrey Jay Dietrich
GenderMale
SpecialityPharmacist
Location550 Pope Avenue, Fort Leavenworth, Kansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1477621894
  • Provider Enumeration Date: 12/01/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Jeffrey Jay Dietrich such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477621894NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 11655 (Kansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jeffrey Jay Dietrich is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Jeffrey Jay Dietrich, RPH
550 Pope Avenue, Munson Army Health Center,
Fort Leavenworth, KS 66027-2332

Ph: (913) 684-6562
Mr Jeffrey Jay Dietrich, RPH
550 Pope Avenue, Munson Army Health Center,
Fort Leavenworth, KS 66027-2332

Ph: (913) 684-6562

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› Verified 7 days ago


Pharmacist in Fort Leavenworth, KS

John T Fitzgerald, RPH
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 550 Pope Ave, Munson Army Health Center (attention Mcxn Cpd ,s Cpttpm, Fort Leavenworth, KS 66027
Phone: 913-684-6562    
Mr. Phibul Un, PHARMACIST
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027
Phone: 913-684-6070    
Jason Brozek, PHARMD, JD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027
Phone: 913-684-6250    
Jarrod Scott Miller, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027
Phone: 913-684-6250    
Dr. Judith Ann Dickie, PHARMD, RPH
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 500 Pope Ave, Fort Leavenworth, KS 66027
Phone: 913-684-6059    Fax: 913-684-6430
Mr. Orville Paul Montague, RPH
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 550 Pope Ave, Munson Army Health Center, Fort Leavenworth, KS 66027
Phone: 913-684-6562    Fax: 913-684-6208
Ms. Cynthia M Herod, RPH, MS
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027
Phone: 913-684-6070    

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