Active NPI
Jason Perine, PHARM D
- Pharmacist
- Rossville, KS
National Provider Identifier
1114475092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-13355
- Practice address
- 430 N Main St
Rossville, KS 66533-9000 - Phone
- (785) 584-6722
- Fax
- (785) 584-6513
- NPI assigned
- Sep 20, 2016
- Last updated
- Sep 20, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | 1-13355 | KS | Primary |
Addresses
Primary practice location
430 N Main St
Rossville, KS 66533-9000
Mailing address
430 N Main St
PO Box 707
Rossville, KS 66533-9000
Phone (785) 584-6722
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 |
|---|---|---|---|
| 1-13355 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perine Enterprises Inc. | Current | Accepting new patients | |
| Perine Enterprises Inc. | Current | 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.
-
dba Doug's Pharmacy LTC
- Long Term Care Pharmacy
- Rossville, KS
- NPI 1164184503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474329600000",
"number": "1114475092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 N MAIN ST",
"address_2": "PO BOX 707",
"city": "ROSSVILLE",
"state": "KS",
"postal_code": "665339000",
"telephone_number": "785-584-6722",
"fax_number": "785-584-6513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 N MAIN ST",
"city": "ROSSVILLE",
"state": "KS",
"postal_code": "665339000",
"telephone_number": "785-584-6722",
"fax_number": "785-584-6513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERINE",
"first_name": "JASON",
"name_prefix": "Mr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-20",
"last_updated": "2016-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-13355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rossville, KS
- Lauren Mara Johnson, MS-SLP
- Tracy Lynn Kinderknecht, RN
- Michael W. Miller, DDS, PA
- Michael Wayne Miller, DDS
- Perine Enterprises Inc. (Doug's Pharmacy LTC)
- Recover-Care Rossville LLC
- Rossville Family Dental, PA (Rossville Family Dental)
- Rossville Healthcare and Rehabilitation Center, LLC (Rossville Healthcare and Rehabilitation Center)
- Matthew Rod Allen Stillion, DNP, PMHNP-C, FNP-C
- Symphony Mental Health LLC (Symphony Mental Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.