Individual provider Active NPI

Jordan N Kiser, PHARMD

  • Pharmacist
  • Quinter, KS
National Provider Identifier
1285304808
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1-109396 Issued in KS
Practice address
414 Main St
Quinter, KS 67752-5205
Phone
(785) 754-3312
Fax
(785) 754-3844
NPI assigned
Sep 15, 2021
Last updated
Nov 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1-109396 KS Primary

Addresses

Primary practice location

414 Main St
Quinter, KS 67752-5205

Mailing address

414 Main St
Quinter, KS 67752-5205
Phone (785) 754-3312

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL raysrx.kiser@gmail.com Direct

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

LicenseStateTypeSpecialty
1-109396KSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rays Pharmacy Inc PastSince Sep 23, 2021 Accepting new patients

Organizations & group practices 1

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": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1285304808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 MAIN ST",
            "city": "QUINTER",
            "state": "KS",
            "postal_code": "677525205",
            "telephone_number": "785-754-3312",
            "fax_number": "785-754-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 MAIN ST",
            "city": "QUINTER",
            "state": "KS",
            "postal_code": "677525205",
            "telephone_number": "785-754-3312",
            "fax_number": "785-754-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISER",
        "first_name": "JORDAN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-109396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "raysrx.kiser@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Professional/Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "414 Main St",
            "city": "Quinter",
            "state": "KS",
            "country_code": "US",
            "postal_code": "677525205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Quinter, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.