Active NPI
Alexa Brockel
- Pharmacist
- Lyons, KS
National Provider Identifier
1245053909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-107022
- Practice address
- 921 W Main St
Lyons, KS 67554-1708 - Phone
- (620) 509-2169
- NPI assigned
- Nov 1, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-107022 | KS | Primary |
Addresses
Primary practice location
921 W Main St
Lyons, KS 67554-1708
Mailing address
921 W Main St
Lyons, KS 67554-1708
Phone (620) 509-2169
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-107022 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lyon Pharmacy Inc | Current | Accepting new patients | |
| Lyon Pharmacy Inc | Current | Accepting new patients |
Locations
921 W Main St
Lyons, KS 67554
Phone (620) 509-2169
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Lyons, KS
- NPI 1205308053
-
- Long Term Care Pharmacy
- Lyons, KS
- NPI 1619734720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730419200000",
"number": "1245053909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 W MAIN ST",
"city": "LYONS",
"state": "KS",
"postal_code": "675541708",
"telephone_number": "620-509-2169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 W MAIN ST",
"city": "LYONS",
"state": "KS",
"postal_code": "675541708",
"telephone_number": "620-509-2169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCKEL",
"first_name": "ALEXA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-01",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-107022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lyons, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.