Individual provider Active NPI

Chelsea Doherty, PHARMD

  • Pharmacist
  • Paola, KS
National Provider Identifier
1174930028
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1-15452 Issued in KS
Practice address
311 N Hospital Dr
Paola, KS 66071-1303
Phone
(913) 294-3516
NPI assigned
Jul 11, 2014
Last updated
Jul 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1-15452 KS Primary

Addresses

Primary practice location

311 N Hospital Dr
Paola, KS 66071-1303

Mailing address

311 N Hospital Dr
Paola, KS 66071-1303
Phone (913) 294-3516

Other identifiers 1

IdentifierTypeStateIssuer
1704697OtherKSNABP

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

LicenseStateTypeSpecialty
1-15452KSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Pharmacy LLC Current Accepting new patients
Auburn Pharmacy Abilene LLC Current Accepting new patients
Auburn Pharmacy Osage, LLC. Current Accepting new patients
Auburn Pharmacy, Inc. Past Accepting new patients

Locations

890 Lakin St
Osage City, KS 66523
Phone (785) 528-4415

Organizations & group practices 4

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": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1174930028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N HOSPITAL DR",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660711303",
            "telephone_number": "913-294-3516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N HOSPITAL DR",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660711303",
            "telephone_number": "913-294-3516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "CHELSEA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-11",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-15452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1704697",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paola, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.