Active NPI
Roselle Marban Schanker, PHARM.D.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Leavenworth, KS
National Provider Identifier
1003870783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 44256
- Practice address
- 4101 S 4TH St
Leavenworth, KS 66048-5014 - Phone
- (913) 682-2000
- NPI assigned
- Apr 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 44256 | MO | |
| Pharmacotherapy Pharmacist | 1835P1200X | 44256 | MO | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 44256 | MO | Primary |
Addresses
Primary practice location
4101 S 4TH St
Leavenworth, KS 66048-5014
Mailing address
22312 W 58TH Ter
Shawnee, KS 66226-7929
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12741 | Other | KS | PHARMACY STATE LICENSE |
| 44256 | Other | MO | PHARMACY STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44256 | MO | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333929600000",
"number": "1003870783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22312 W 58TH TER",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662267929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 S 4TH ST",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "660485014",
"telephone_number": "913-682-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHANKER",
"first_name": "ROSELLE",
"middle_name": "MARBAN",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-12",
"last_updated": "2012-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "44256",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "MO",
"license": "44256",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MO",
"license": "44256",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY STATE LICENSE",
"identifier": "12741",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY STATE LICENSE",
"identifier": "44256",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leavenworth, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.