Active NPI
Terry Bontrager, PHARM.D.
- Pharmacist
- Wichita, KS
National Provider Identifier
1023478245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-12617
- Practice address
- 3601 N Webb Rd
Wichita, KS 67226-8129 - Phone
- (316) 630-5350
- Fax
- (316) 630-6349
- NPI assigned
- Mar 1, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-12617 | KS | Primary |
Addresses
Primary practice location
3601 N Webb Rd
Wichita, KS 67226-8129
Mailing address
3601 N Webb Rd
Wichita, KS 67226-8129
Phone (316) 630-5350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-12617 | Other | KS | KANSAS STATE BOARD OF PHARMACY |
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 |
|---|---|---|---|
| 1-12617 | KS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456790400000",
"number": "1023478245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 N WEBB RD",
"city": "WICHITA",
"state": "KS",
"postal_code": "672268129",
"telephone_number": "316-630-5350",
"fax_number": "316-630-6349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 N WEBB RD",
"city": "WICHITA",
"state": "KS",
"postal_code": "672268129",
"telephone_number": "316-630-5350",
"fax_number": "316-630-6349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONTRAGER",
"first_name": "TERRY",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-01",
"last_updated": "2016-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-12617",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KANSAS STATE BOARD OF PHARMACY",
"identifier": "1-12617",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}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 Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.