Tonya Booze, PHARMD
Individual provider Active NPI Pharmacist · Hays, KS
NPI 1346581790 · NPPES record last updated Mar 11, 2013
Key facts
- NPI
- 1346581790
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 1-14778 (KS)
- Practice address
- 2600 Vine St
Hays, KS 67601-2201 - Phone
- (785) 628-1767
- NPI assigned
- Mar 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-14778 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-14778 | KS | Yes |
Addresses
Primary practice location
2600 Vine St
Hays, KS 67601-2201
Mailing address
2600 Vine St
Hays, KS 67601-2201
Phone (785) 628-1767
Other providers in Hays, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.