Jamie Prokup, is a
Pharmacist based in La Plata, Missouri. Jamie Prokup is licensed to practice in Missouri (license number 042461) and his current practice location is
29936 July Rd, La Plata, Missouri. He can be reached at his office (for appointments etc.) via phone at
(660) 332-4456.
NPI number for Jamie Prokup is 1841597358 and his current mailing address is 29936 July Rd, La Plata, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841597358.
Healthcare Provider's Profile
Full Name | Jamie Prokup |
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Gender | Male |
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Speciality | Pharmacist |
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Location | 29936 July Rd, La Plata, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1841597358
- Provider Enumeration Date: 02/17/2011
- Last Update Date: 02/17/2011
Medical Identifiers
Medical identifiers for Jamie Prokup such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841597358 | NPI | - | NPPES |
600133003 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 042461 (Missouri) | 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. Jamie Prokup 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 Address | Practice Location Address |
Jamie Prokup, 29936 July Rd, La Plata, MO 63549-3129 Ph: (660) 332-4456 | Jamie Prokup, 29936 July Rd, La Plata, MO 63549-3129 Ph: (660) 332-4456 |
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