Provider Demographics
NPI:1124519566
Name:KAUFMANN, JONATHAN PAUL (DOCTOR OF PHARMACY)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:PAUL
Last Name:KAUFMANN
Suffix:
Gender:M
Credentials:DOCTOR OF PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:533 S LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:NE
Mailing Address - Zip Code:68467-4211
Mailing Address - Country:US
Mailing Address - Phone:308-737-0164
Mailing Address - Fax:
Practice Address - Street 1:WALGREENS PHARMACY
Practice Address - Street 2:533 SOUTH LINCOLN AVENUE
Practice Address - City:YORK
Practice Address - State:NE
Practice Address - Zip Code:68467
Practice Address - Country:US
Practice Address - Phone:402-362-1280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-22
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11851183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist