Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Betty Jean Ketchmark, PHARMDRP

Individual provider Pharmacist · NPI 1659080893

Dr. Betty Jean Ketchmark, PHARMDRP is a Pharmacist in Lavista, Nebraska. Licensed in Idaho and Nebraska. Registered with an NPI since 2022.

Licensed in
ID, NE
In the registry since
2022
Specialties on file
2

Practice location Address checks out

8637 S 99 Cir
Lavista, NE 68128-7010
Phone: (402) 639-0965
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 10348 (NE)
Pharmacist Taxonomy 183500000X · Licence P7739 (ID)

Record details

NPI number1659080893
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMDRP
Sole proprietorNo
NPI enumeratedNovember 16, 2022
Last updated in NPPESNovember 16, 2022
Certification dateNovember 16, 2022