Active NPI
Leslie Eidem, RPH
- Pharmacist
- Wichita, KS
National Provider Identifier
1457559015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10185
- Practice address
- 550 N Hillside St
Wesley Med Center Dept of Pharmacy
Wichita, KS 67214-4910 - Phone
- (316) 962-2305
- NPI assigned
- Jul 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 10185 | KS | Primary |
Addresses
Primary practice location
550 N Hillside St
Wesley Med Center Dept of Pharmacy
Wichita, KS 67214-4910
Mailing address
419 W Concord Rd
Andover, KS 67002-8781
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 |
|---|---|---|---|
| 10185 | KS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457559015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 W CONCORD RD",
"city": "ANDOVER",
"state": "KS",
"postal_code": "670028781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 N HILLSIDE ST",
"address_2": "WESLEY MED CENTER DEPT OF PHARMACY",
"city": "WICHITA",
"state": "KS",
"postal_code": "672144910",
"telephone_number": "316-962-2305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EIDEM",
"first_name": "LESLIE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "10185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, 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.