Provider Demographics
NPI:1063107266
Name:JELINEK, AMY S (PHARMD, RP)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:S
Last Name:JELINEK
Suffix:
Gender:F
Credentials:PHARMD, RP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3115 COUNTY ROAD T
Mailing Address - Street 2:
Mailing Address - City:LINWOOD
Mailing Address - State:NE
Mailing Address - Zip Code:68036
Mailing Address - Country:US
Mailing Address - Phone:402-643-5865
Mailing Address - Fax:
Practice Address - Street 1:372 S 9TH ST
Practice Address - Street 2:
Practice Address - City:DAVID CITY
Practice Address - State:NE
Practice Address - Zip Code:68632-2116
Practice Address - Country:US
Practice Address - Phone:402-367-1207
Practice Address - Fax:877-660-7133
Is Sole Proprietor?:No
Enumeration Date:2023-04-05
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE117711835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist