Active NPI
Leavenworth VA Cmop
- Department of Veterans Affairs (VA) Pharmacy
- Leavenworth, KS
National Provider Identifier
1316995186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Department of Veterans Affairs (VA) Pharmacy
- Legal business name
- LEAVENWORTH VA CMOP
- Practice address
- 5000 13TH St
Leavenworth, KS 66048-5581 - Phone
- (913) 727-4860
- Fax
- (719) 727-4851
- NPI assigned
- May 4, 2006
- Last updated
- Mar 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth Siehr, R.PH., MPA
- Title
- Deputy Chief Consultant PBM/Cmop
- Phone
- (913) 758-4750
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Department of Veterans Affairs (VA) Pharmacy | 332100000X | Primary |
Addresses
Primary practice location
5000 13TH St
Leavenworth, KS 66048-5581
Mailing address
5000 13TH St
Leavenworth, KS 66048-5581
Phone (913) 727-4860
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1718595 | Other | KS | NCPDP# |
National Provider Directory
National Provider Directory- Tax ID family
- VA Hospital
Organizations with this tax ID in the same state 1
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- General Acute Care Hospital
- Wichita, KS
- NPI 1780605543
Locations
5000 S 13th St
Leavenworth, KS 66048
Phone (913) 727-4820
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Leavenworth, KS
- NPI 1952939027
-
- Pharmacist
- Leavenworth, KS
- NPI 1780108902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1316995186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 13TH ST",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "660485581",
"telephone_number": "913-727-4860",
"fax_number": "719-727-4851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 13TH ST",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "660485581",
"telephone_number": "913-727-4860",
"fax_number": "719-727-4851"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEAVENWORTH VA CMOP",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-04",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "SIEHR",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "DEPUTY CHIEF CONSULTANT PBM/CMOP",
"authorized_official_telephone_number": "913-758-4750",
"authorized_official_credential": "R.PH., MPA"
},
"taxonomies": [
{
"code": "332100000X",
"taxonomy_group": "",
"desc": "Department of Veterans Affairs (VA) Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP#",
"identifier": "1718595",
"state": "KS"
}
],
"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 Mar 7, 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.