Active NPI
Ray Tejeda, PHARMACIST
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Wichita, KS
National Provider Identifier
1083152540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 1-10610
- Practice address
- 5475 N Meridian Ave
Wichita, KS 67204-1620 - Phone
- (316) 831-9057
- NPI assigned
- Feb 5, 2017
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 1-10610 | KS | Primary |
Addresses
Primary practice location
5475 N Meridian Ave
Wichita, KS 67204-1620
Mailing address
5475 N Meridian Ave
Wichita, KS 67204-1620
Phone (316) 831-9057
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-10610 | KS | 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": "1486252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486252800000",
"number": "1083152540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5475 N MERIDIAN AVE",
"city": "WICHITA",
"state": "KS",
"postal_code": "672041620",
"telephone_number": "316-831-9057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5475 N MERIDIAN AVE",
"city": "WICHITA",
"state": "KS",
"postal_code": "672041620",
"telephone_number": "316-831-9057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEJEDA",
"first_name": "RAY",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-05",
"last_updated": "2017-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "KS",
"license": "1-10610",
"primary": true
}
],
"identifiers": [],
"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 Feb 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.