Active NPI
Lisa Whitney, RPH
- Pharmacist
- Iola, KS
National Provider Identifier
1093188450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11373
- Practice address
- 2200 N State St
Iola, KS 66749-1636 - Phone
- (620) 365-7637
- Fax
- (620) 365-7802
- NPI assigned
- Nov 6, 2015
- Last updated
- Nov 6, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11373 | KS | Primary |
Addresses
Primary practice location
2200 N State St
Iola, KS 66749-1636
Mailing address
1602 Missouri Rd
Iola, KS 66749-3905
Phone (785) 221-4909
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11373 | Other | KS | STATE LISCENCE NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11373 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients | |
| Walmart Inc. | 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": "1446768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446768000000",
"number": "1093188450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1602 MISSOURI RD",
"city": "IOLA",
"state": "KS",
"postal_code": "667493905",
"telephone_number": "785-221-4909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 N STATE ST",
"city": "IOLA",
"state": "KS",
"postal_code": "667491636",
"telephone_number": "620-365-7637",
"fax_number": "620-365-7802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITNEY",
"first_name": "LISA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-06",
"last_updated": "2015-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "11373",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LISCENCE NUMBER",
"identifier": "11373",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Iola, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.