Active NPI
Katerina Videnova
- Pharmacist
- Wichita, KS
National Provider Identifier
1659765162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 116946
- Practice address
- 3770 N Woodlawn Blvd
Wichita, KS 67220-2220 - Phone
- (316) 686-1838
- NPI assigned
- Mar 23, 2015
- Sex
- Female
- 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 | 116946 | KS | Primary |
Addresses
Primary practice location
3770 N Woodlawn Blvd
Wichita, KS 67220-2220
Mailing address
3770 N Woodlawn Blvd
Wichita, KS 67220-2220
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116946 | KS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427068800000",
"number": "1659765162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3770 N WOODLAWN BLVD",
"city": "WICHITA",
"state": "KS",
"postal_code": "672202220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3770 N WOODLAWN BLVD",
"city": "WICHITA",
"state": "KS",
"postal_code": "672202220",
"telephone_number": "316-686-1838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIDENOVA",
"first_name": "KATERINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-23",
"last_updated": "2015-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "116946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.