Logan Arkenberg
Individual provider Active NPI Pharmacist · Lawrence, KS
NPI 1609280577 · NPPES record last updated Jun 18, 2014
Key facts
- NPI
- 1609280577
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 1-14086 (KS)
- Practice address
- 1521 Rhode Island St
Lawrence, KS 66044-4271 - Phone
- (785) 766-9123
- NPI assigned
- Jun 18, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-14086 | KS | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-14086 | KS | Yes |
Addresses
Primary practice location
1521 Rhode Island St
Lawrence, KS 66044-4271
Mailing address
1521 Rhode Island St
Lawrence, KS 66044-4271
Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2014. 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.