Leland Hansen, R.PH.
Individual provider Active NPI Pharmacist · Hiawatha, KS
NPI 1659814713 · NPPES record last updated Nov 22, 2016
Key facts
- NPI
- 1659814713
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 9000 (KS)
- Practice address
- 618 Oregon St
Hiawatha, KS 66434-2231 - Phone
- (785) 742-2191
- Fax
- (785) 742-7989
- NPI assigned
- Nov 22, 2016
- 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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9000 | KS | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9000 | KS | Yes |
Addresses
Primary practice location
618 Oregon St
Hiawatha, KS 66434-2231
Mailing address
618 Oregon St
Hiawatha, KS 66434-2231
Phone (785) 742-2191
Other providers in Hiawatha, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2016. 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.