Douglas K. Dietrich, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

041334 Issued in MO

Practice address

6860 W 115TH St Ste 150
Overland Park, KS 66211-2400

Phone

(913) 253-0600

NPI assigned

May 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518176882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4113 SW LAHARVE DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824697",
            "telephone_number": "816-537-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6860 W 115TH ST STE 150",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662112400",
            "telephone_number": "913-253-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETRICH",
        "first_name": "DOUGLAS",
        "middle_name": "K.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "041334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul G Diederich, M.D.
• Rhett Diefendorf
• Jackson L Diel, DPT
• Jessica Marie Diestel
• Cassie Christine Dietrich, M.D.
• Hannah Marie Pray Dietz, FNP-C
• Tyrone Diggs, OD
• Digitrace Care Services, Inc.
• Dignity Hospice Inc.
• Laura L Dill, MD

• Pharmacist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Pharmacist in Kansas

• 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.