Chad Stuchlik, PHARMD
Individual provider Active NPI Pharmacist · Goddard, KS
NPI 1588050348 · NPPES record last updated Apr 8, 2015
Key facts
- NPI
- 1588050348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 113887 (KS)
- Practice address
- 18631 W Kellogg Dr
Goddard, KS 67052-9221 - Phone
- (316) 347-2098
- NPI assigned
- Apr 8, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113887 | KS | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 113887 | KS | Yes |
Addresses
Primary practice location
18631 W Kellogg Dr
Goddard, KS 67052-9221
Mailing address
14118 W Monterey St
Wichita, KS 67235-3430
Phone (316) 461-2348
Other providers in Goddard, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.