Active NPI
Jatandra Lee Birney, PHARM.D.
- Oncology Pharmacist
- Wichita, KS
National Provider Identifier
1013750983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Pharmacist
- License
- 1-14682
- Practice address
- 929 North Saint Francis Street
Lower Level Pharmacy Department
Wichita, KS 67214 - Phone
- (316) 268-5098
- Fax
- (316) 768-8490
- NPI assigned
- Jun 17, 2024
- Last updated
- Jun 17, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-14682 | KS | |
| Oncology Pharmacist | 1835X0200X | 1-14682 | KS | Primary |
Addresses
Primary practice location
929 North Saint Francis Street
Lower Level Pharmacy Department
Wichita, KS 67214
Mailing address
4233 N Woodlawn Blvd
Bel Aire, KS 67220-3836
Phone (443) 768-3056
Other practice location 1
3150 S Seneca St
Wichita, KS 67217-3235
Phone (316) 522-7489
Other names 1
- Jatandra Lee Owens
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 |
|---|---|---|---|
| 1-14682 | KS | MD | Oncology Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1013750983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4233 N WOODLAWN BLVD",
"city": "BEL AIRE",
"state": "KS",
"postal_code": "672203836",
"telephone_number": "443-768-3056",
"fax_number": "316-768-8490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 NORTH SAINT FRANCIS STREET",
"address_2": "LOWER LEVEL PHARMACY DEPARTMENT",
"city": "WICHITA",
"state": "KS",
"postal_code": "67214",
"telephone_number": "316-268-5098",
"fax_number": "316-768-8490"
}
],
"practiceLocations": [
{
"address_1": "3150 S Seneca St",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672173235",
"country_code": "US",
"telephone_number": "316-522-7489",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIRNEY",
"first_name": "JATANDRA",
"middle_name": "LEE",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-17",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-14682",
"primary": false
},
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "KS",
"license": "1-14682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JATANDRA",
"last_name": "OWENS",
"middle_name": "LEE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.