Patti Ayesh, RPH
Individual provider Active NPI Pharmacist · Wichita, KS
NPI 1154700698 · NPPES record last updated May 28, 2015
Key facts
- NPI
- 1154700698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 10115 (KS)
- Practice address
- 4817 E Douglas Ave
Suite 300
Wichita, KS 67218-1013 - Phone
- (316) 684-0118
- Fax
- (316) 684-3640
- NPI assigned
- May 28, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10115 | KS | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10115 | KS | Yes |
Addresses
Primary practice location
4817 E Douglas Ave
Suite 300
Wichita, KS 67218-1013
Mailing address
4817 E Douglas Ave
Suite 300
Wichita, KS 67218-1013
Phone (316) 684-0118
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.