IndividualActive
Jason Donovan, PHARMD
NPI 1306586078 · Nutrition Support Pharmacist · Merriam, KS
Provider details
- NPI number
- 1306586078
- Entity type
- Individual
- Primary specialty
- Nutrition Support PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1106838 (KS)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
5203 Garner Ln
Merriam, KS 66203-2063
Phone: (913) 982-7281
Approximate (ZIP-level) locationGet directions
Mailing address
5203 Garner Ln
Merriam, KS 66203-2063
Registry dates
- Enumerated
- 2022-03-31
- Last updated
- 2022-03-31
- Certified
- 2021-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.