Organization Active NPI

Leavenworth VA Cmop

  • Department of Veterans Affairs (VA) Pharmacy
  • Leavenworth, KS
National Provider Identifier
1316995186
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Department of Veterans Affairs (VA) PharmacyTaxonomy code 332100000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1718595OtherKSNCPDP#

National Provider Directory

National Provider Directory
Tax ID family
VA Hospital179 organizations share this tax ID, including this one

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.

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.

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.

Verify at the official NPI Registry.