Cory J Simms, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

1-100490 Issued in KS

Practice address

8200 W Central Ave Ste 5
Wichita, KS 67212-3661

Phone

(316) 491-6428

NPI assigned

Apr 23, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• West Wichita Family Pharmacy LLC

  • Community/Retail Pharmacy
  • Wichita, KS
  • NPI 1548737182
  NPD

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1275197584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 W CENTRAL AVE STE 5",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123661",
            "telephone_number": "316-491-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 W CENTRAL AVE STE 5",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672123661",
            "telephone_number": "316-491-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMS",
        "first_name": "CORY",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-100490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1-100490",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Brian Simmons, BA, LAC
• Geth Simmons, DO
• Lauren Elizabeth Simmons, PA
• Mara Elizabeth Simmons
• Matthew Simmons, MD
• David A Simms, MD
• Audrey Simon, COUNSELOR IN TRAININ
• Brandi Simon, T-LMSW
• Kaitlin Michelle Simon
• Mark A Simon, O.D.

• Pharmacist in Wichita, KS
• Providers in Wichita, KS by specialty
• Pharmacist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.