Active NPI
Michael Wayne Lemke, RPH
- Pharmacist
- Leavenworth, KS
National Provider Identifier
1417961178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-09689
- Practice address
- Dwight E. Eisenhower Medical Center
4101 S. 4TH Street Trafficway
Leavenworth, KS 66048-9951 - Phone
- (913) 682-2000
- Fax
- (913) 758-4109
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-09689 | KS | Primary |
Addresses
Primary practice location
Dwight E. Eisenhower Medical Center
4101 S. 4TH Street Trafficway
Leavenworth, KS 66048-9951
Mailing address
PO Box 68
Lansing, KS 66043
Phone (913) 682-2000
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-09689 | KS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417961178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 68",
"city": "LANSING",
"state": "KS",
"postal_code": "66043",
"telephone_number": "913-682-2000",
"fax_number": "913-758-4109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DWIGHT E. EISENHOWER MEDICAL CENTER",
"address_2": "4101 S. 4TH STREET TRAFFICWAY",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "660489951",
"telephone_number": "913-682-2000",
"fax_number": "913-758-4109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMKE",
"first_name": "MICHAEL",
"middle_name": "WAYNE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-09689",
"primary": true
}
],
"identifiers": [],
"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 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.