Active NPI
Stephen Kent Rauch, R.PH.
- Pharmacist
- Coffeyville, KS
National Provider Identifier
1497818686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9347
- Practice address
- 1205 W 8TH St
Coffeyville, KS 67337-3505 - Phone
- (620) 251-3533
- NPI assigned
- Dec 18, 2006
- Sex
- Male
- 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 | 9347 | KS | Primary |
Addresses
Primary practice location
1205 W 8TH St
Coffeyville, KS 67337-3505
Mailing address
2505 Parkway Ave
Coffeyville, KS 67337-2719
Phone (620) 251-3137
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 |
|---|---|---|---|
| 9347 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rauch Med-Econ Pharmacy, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Coffeyville, KS
- NPI 1558360818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497818686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2505 PARKWAY AVE",
"city": "COFFEYVILLE",
"state": "KS",
"postal_code": "673372719",
"telephone_number": "620-251-3137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 W 8TH ST",
"city": "COFFEYVILLE",
"state": "KS",
"postal_code": "673373505",
"telephone_number": "620-251-3533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAUCH",
"first_name": "STEPHEN",
"middle_name": "KENT",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "9347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coffeyville, 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.