Individual provider Active NPI

Brenda Kathryn Coats, RPH

  • Pharmacist
  • Leavenworth, KS
National Provider Identifier
1316951221
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1-11648 Issued in KS
Practice address
Dwight D. Eisenhower Medical Center
4101 S 4TH Street Trafficway
Leavenworth, KS 66048-9951
Phone
(913) 682-2000
Fax
(913) 758-4109
NPI assigned
Jul 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1-11648 KS Primary

Addresses

Primary practice location

Dwight D. Eisenhower Medical Center
4101 S 4TH Street Trafficway
Leavenworth, KS 66048-9951

Mailing address

707 Rock Creek Drive
Lansing, KS 66043-6273
Phone (913) 682-2000

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
1-11648KSMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316951221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 ROCK CREEK DRIVE",
            "city": "LANSING",
            "state": "KS",
            "postal_code": "660436273",
            "telephone_number": "913-682-2000",
            "fax_number": "913-758-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DWIGHT D. EISENHOWER MEDICAL CENTER",
            "address_2": "4101 S 4TH STREET TRAFFICWAY",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660489951",
            "telephone_number": "913-682-2000",
            "fax_number": "913-758-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COATS",
        "first_name": "BRENDA",
        "middle_name": "KATHRYN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-11648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leavenworth, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.