Individual provider Active NPI

Rick Scott Sunderland, RPH

  • Pharmacist
  • McPherson, KS
National Provider Identifier
1053729947
Registry record updated Mar 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
10884 Issued in KS
Practice address
2095 E Kansas Ave
McPherson, KS 67460
Phone
(620) 241-1581
Fax
(620) 241-1790
NPI assigned
Jul 24, 2014
Last updated
Mar 31, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 10884 KS Primary

Addresses

Primary practice location

2095 E Kansas Ave
McPherson, KS 67460

Mailing address

5340 N Maize Rd
Maize, KS 67101-9482
Phone (316) 722-2670

Other practice location 1

5340 N Maize Rd
Maize, KS 67101-9482
Phone (316) 722-2670

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
10884KSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients
Walgreen Co PastSince Apr 10, 2022 Accepting new patients
Kwik Shop Inc Past Accepting new patients

Organizations & group practices 3

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": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553990400000",
    "number": "1053729947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 N MAIZE RD",
            "city": "MAIZE",
            "state": "KS",
            "postal_code": "671019482",
            "telephone_number": "316-722-2670",
            "fax_number": "316-722-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 E KANSAS AVE",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "67460",
            "telephone_number": "620-241-1581",
            "fax_number": "620-241-1790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5340 N Maize Rd",
            "address_purpose": "LOCATION",
            "city": "Maize",
            "state": "KS",
            "postal_code": "671019482",
            "country_code": "US",
            "telephone_number": "316-722-2670",
            "fax_number": "316-722-2410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNDERLAND",
        "first_name": "RICK",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-24",
        "last_updated": "2019-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "10884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McPherson, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.