Shane Stephen Artiles, PHARMD
Individual provider Active NPI Pharmacist · Kansas City, KS
NPI 1285409003 · NPPES record last updated Nov 21, 2023
Key facts
- NPI
- 1285409003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 1-120717 (KS)
- Practice address
- 8101 State Ave
Kansas City, KS 66112-2421 - Phone
- (913) 299-1224
- Fax
- (913) 299-1852
- NPI assigned
- Nov 21, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-120717 | KS | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-120717 | KS | Yes |
Addresses
Primary practice location
8101 State Ave
Kansas City, KS 66112-2421
Mailing address
8101 State Ave
Kansas City, KS 66112-2421
Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.