Individual provider Active NPI

Janis Kay Wyland, RPH

  • Pharmacist
  • Kansas City, MO
National Provider Identifier
1205480837
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1-11277 Issued in KS
Practice address
1336 NE 106TH Ter
Kansas City, MO 64155-1746
Phone
(816) 769-7765
NPI assigned
Jul 31, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 042529 KS
Pharmacist 183500000X 1-11277 KS Primary

Addresses

Primary practice location

1336 NE 106TH Ter
Kansas City, MO 64155-1746

Mailing address

1336 NE 106TH Ter
Kansas City, MO 64155-1746
Phone (816) 769-7765

Other identifiers 1

IdentifierTypeStateIssuer
042529OtherMOMISSOURI STATE BOARD OF PHARMACY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address janis.wyland@libertyhospital.org Direct New Liberty Hospital Corporation

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

LicenseStateTypeSpecialty
042529KSMDPharmacist
1-11277KSMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1205480837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 NE 106TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641551746",
            "telephone_number": "816-769-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 NE 106TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641551746",
            "telephone_number": "816-769-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYLAND",
        "first_name": "JANIS",
        "middle_name": "KAY",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "042529",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-11277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI STATE BOARD OF PHARMACY",
            "identifier": "042529",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "janis.wyland@libertyhospital.org",
            "affiliation": "Y",
            "affiliationName": "New Liberty Hospital Corporation",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email address",
            "address_1": "2609 Glenn Hendren Dr",
            "city": "Liberty",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640683313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.