Charles Spencer Evans Lombe
Individual provider Active NPI Pharmacist · Cherryvale, KS
NPI 1215066709 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1215066709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 8031 (KS)
- Practice address
- 101 E Main St
Cherryvale, KS 67335-1409 - Phone
- (620) 336-2144
- Fax
- (620) 336-3285
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8031 | KS | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8031 | KS | Yes |
Addresses
Primary practice location
101 E Main St
Cherryvale, KS 67335-1409
Mailing address
1214 W 4TH St
Coffeyville, KS 67337-3302
Phone (620) 251-1622
Other providers in Cherryvale, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.