Active NPI
Shawn Robert Kokenge
- Pharmacist
- Manhattan, KS
National Provider Identifier
1295337657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-11676
- Practice address
- 3254 Kimball Ave
Manhattan, KS 66503-2157 - Phone
- (785) 776-4100
- NPI assigned
- Nov 11, 2020
- 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 | 1-11676 | KS | Primary |
Addresses
Primary practice location
3254 Kimball Ave
Manhattan, KS 66503-2157
Mailing address
3254 Kimball Ave
Manhattan, KS 66503-2157
Phone (785) 776-4100
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 |
|---|---|---|---|
| 1-11676 | KS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605052800000",
"number": "1295337657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3254 KIMBALL AVE",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665032157",
"telephone_number": "785-776-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3254 KIMBALL AVE",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665032157",
"telephone_number": "785-776-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOKENGE",
"first_name": "SHAWN",
"middle_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-11",
"last_updated": "2020-11-11",
"certification_date": "2020-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-11676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manhattan, KS
- Darin J Knapp, LMFT
- Ryan C Knopp, M.D.
- Kimberly Marie Kocour, MD
- Travis Koeneke, MD
- Kylee Marie Koerner
- Konza Acupuncture & Herbal Medicine, LLC
- Konza Oral and Maxillofacial Surgery PA
- Konza Prairie Community Health Center, Inc.
- Konza Prairie Community Health Center, Inc.
- Ethan Patrick Koochel, DPT, PT, ATC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.