Active NPI
Logan Kiser
- Pharmacist
- Medicine Lodge, KS
National Provider Identifier
1265021349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-100914
- Practice address
- 126 N Main St
Medicine Lodge, KS 67104-1317 - Phone
- (620) 886-5161
- NPI assigned
- Jan 13, 2021
- Last updated
- Jan 13, 2021
- Sex
- Male
- 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 | 1-100914 | KS | Primary |
Addresses
Primary practice location
126 N Main St
Medicine Lodge, KS 67104-1317
Mailing address
PO Box 5
Logan, KS 67646-0005
Phone (785) 689-8831
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 |
|---|---|---|---|
| 1-100914 | KS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1265021349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5",
"city": "LOGAN",
"state": "KS",
"postal_code": "676460005",
"telephone_number": "785-689-8831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 N MAIN ST",
"city": "MEDICINE LODGE",
"state": "KS",
"postal_code": "671041317",
"telephone_number": "620-886-5161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISER",
"first_name": "LOGAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-13",
"last_updated": "2021-01-13",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-100914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medicine Lodge, KS
- Hope Elizabeth Hewitt, NP
- Horizons Mental Health Center, Inc.
- Melissa Ann Hurley, LMSW
- J C H Consulting Inc (Hibbards Prescriptions Plus)
- Reginald Alexis Jones
- Lesley Hill, LLC
- Christopher P. Martin, RN
- Maydew Thibault Optometry LLC
- Patricia McNamar, DNP, APRN
- Medicine Lodge Community Health Foundation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.