Individual provider Active NPI

Stefanie Ann Spantgos, PHARM.D.

  • Pharmacotherapy Pharmacist
  • Topeka, KS
National Provider Identifier
1386865384
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
2006026104 Issued in MO
Practice address
2200 SW Gage Blvd
Topeka, KS 66622-0001
Phone
(785) 350-3111
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Pharmacist 1835P1300X 2006026104 MO
Pharmacotherapy Pharmacist 1835P1200X 2006026104 MO Primary

Addresses

Primary practice location

2200 SW Gage Blvd
Topeka, KS 66622-0001

Mailing address

2200 SW Gage Blvd
Topeka, KS 66622-0001
Phone (785) 350-3111

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
2006026104MOMDPsychiatric Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1386865384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SW GAGE BLVD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666220001",
            "telephone_number": "785-350-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SW GAGE BLVD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666220001",
            "telephone_number": "785-350-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANTGOS",
        "first_name": "STEFANIE",
        "middle_name": "ANN",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "MO",
            "license": "2006026104",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MO",
            "license": "2006026104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.