Ricks Pharmacy and Wellness Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

210043 Issued in KS

Legal business name

RICKS PHARMACY AND WELLNESS INC

Doing business as

THE MEDICINE SHOPPE

Practice address

2315 W 21St St N
Suite 117
Wichita, KS 67203-2150

Phone

(316) 838-2100

Fax

(316) 838-7843

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Frank Tejeda, RPH

Title

President Owner

Phone

(316) 838-2100

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• THE MEDICINE SHOPPE Doing business as

Locations

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1649379538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 W 21ST ST N",
            "address_2": "SUITE 117",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 W 21ST ST N",
            "address_2": "SUITE 117",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672032150",
            "telephone_number": "316-838-2100",
            "fax_number": "316-838-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICKS PHARMACY AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-09-12",
        "status": "A",
        "authorized_official_last_name": "TEJEDA",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "316-838-2100",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "210043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1715359",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100440100B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tamara Rickaby
• Ashlynn Ricke
• Zachary Scott Rickett, DPT
• Lauren Ricketts, SLP-CCC
• Michelle Ricklefs, LMSW, LAC
• Chafonn M Ricks
• Nichole M Riddel, M.D.
• Bart Ridder
• Madison Brooke Ridder
• Constance Riddle, ARNP

• Community/Retail Pharmacy in Wichita, KS
• Providers in Wichita, KS by specialty
• Community/Retail Pharmacy in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; 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.