Active NPI
Adelina Merry Tan Uypeckcuat
- Pharmacist
- Lenexa, KS
National Provider Identifier
1316652845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-15405
- Practice address
- 10050 Woodland Dr
Lenexa, KS 66220-3802 - Phone
- (913) 397-0906
- NPI assigned
- Jan 19, 2023
- Last updated
- Jan 19, 2023
- Sex
- Female
- 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 | 1-15405 | KS | Primary |
Addresses
Primary practice location
10050 Woodland Dr
Lenexa, KS 66220-3802
Mailing address
10050 Woodland Dr
Lenexa, KS 66220-3802
Phone (913) 397-0906
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-15405 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Kansas CVS Pharmacy, L.L.C | Past | Accepting new patients |
Organizations & group practices 2
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": "1674086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674086400000",
"number": "1316652845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10050 WOODLAND DR",
"city": "LENEXA",
"state": "KS",
"postal_code": "662203802",
"telephone_number": "913-397-0906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10050 WOODLAND DR",
"city": "LENEXA",
"state": "KS",
"postal_code": "662203802",
"telephone_number": "913-397-0906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UYPECKCUAT",
"first_name": "ADELINA MERRY",
"middle_name": "TAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-19",
"last_updated": "2023-01-19",
"certification_date": "2023-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-15405",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "N",
"endpointDescription": "16.840.1.113883.3.667.2",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "10050 Woodland Dr",
"city": "Lenexa",
"state": "KS",
"country_code": "US",
"postal_code": "662203802",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lenexa, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.