Individual provider Active NPI

Kay Yvonne Brunner, RPH PHARMD

  • Pharmacist
  • Herington, KS
National Provider Identifier
1396955845
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1-10366 Issued in KS
Practice address
11 N Broadway
Herington, KS 67449-2401
Phone
(785) 258-3717
Fax
(785) 258-9013
NPI assigned
May 23, 2007
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 1-10366 KS Primary

Addresses

Primary practice location

11 N Broadway
Herington, KS 67449-2401

Mailing address

418 S C St
Herington, KS 67449-3016
Phone (785) 258-3717

Other identifiers 1

IdentifierTypeStateIssuer
1-10366OtherKSKANSAS PHARMACIST LICENSE

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
1-10366KSMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396955845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 S C ST",
            "city": "HERINGTON",
            "state": "KS",
            "postal_code": "674493016",
            "telephone_number": "785-258-3717",
            "fax_number": "785-258-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N BROADWAY",
            "city": "HERINGTON",
            "state": "KS",
            "postal_code": "674492401",
            "telephone_number": "785-258-3717",
            "fax_number": "785-258-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNNER",
        "first_name": "KAY",
        "middle_name": "YVONNE",
        "name_prefix": "Dr.",
        "credential": "RPH PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-10366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS PHARMACIST LICENSE",
            "identifier": "1-10366",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Herington, 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.