Ethan Alexander Artzer, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

1-103835 Issued in KS

Practice address

501 Lincoln Ave
Wamego, KS 66547-1633

Phone

(785) 456-9292

NPI assigned

Oct 12, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wamego Drug Store Inc

  • Long Term Care Pharmacy
  • Wamego, KS
  • NPI 1306668546
  NPD
• Wamego Drug Store Inc

  • Community/Retail Pharmacy
  • Wamego, KS
  • NPI 1619081692
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1154083699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 LINCOLN AVE",
            "city": "WAMEGO",
            "state": "KS",
            "postal_code": "665471633",
            "telephone_number": "785-456-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 LINCOLN AVE",
            "city": "WAMEGO",
            "state": "KS",
            "postal_code": "665471633",
            "telephone_number": "785-456-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTZER",
        "first_name": "ETHAN",
        "middle_name": "ALEXANDER",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-103835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Wamego, KS
• Pharmacist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.