Active NPI
Diane Rose Traiger, PHARM D
- Pharmacist
- Overland Park, KS
National Provider Identifier
1215206065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-12553
- Practice address
- 12601 Pflumm Rd
Overland Park, KS 66213-2303 - Phone
- (913) 764-3471
- NPI assigned
- Dec 23, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-12553 | KS | Primary |
| Pharmacist | 183500000X | 045222 | MO | |
| Pharmacist | 183500000X | 36369 | TX |
Addresses
Primary practice location
12601 Pflumm Rd
Overland Park, KS 66213-2303
Mailing address
12601 Pflumm Rd
Overland Park, KS 66213-2303
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
| License | State | Type | Specialty |
|---|---|---|---|
| 36369 | TX | MD | Case Manager/Care Coordinator |
| 1-12553 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1324598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324598400000",
"number": "1215206065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12601 PFLUMM RD",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662132303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12601 PFLUMM RD",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662132303",
"telephone_number": "913-764-3471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAIGER",
"first_name": "DIANE",
"middle_name": "ROSE",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-23",
"last_updated": "2011-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-12553",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "045222",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "36369",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.