Individual provider Active NPI

Cindy Deffenbaugh

  • Pharmacist
  • Westwood, KS
National Provider Identifier
1679137459
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1-100616 Issued in KS
Practice address
4701 Mission Rd
Westwood, KS 66205-1635
Phone
(913) 831-9233
NPI assigned
Apr 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1-100616 KS Primary

Addresses

Primary practice location

4701 Mission Rd
Westwood, KS 66205-1635

Mailing address

4701 Mission Rd
Westwood, KS 66205-1635
Phone (913) 831-9233

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address c0d010j.s00998.us@wal-mart.com Direct

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

LicenseStateTypeSpecialty
1-100616KSMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1679137459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 MISSION RD",
            "city": "WESTWOOD",
            "state": "KS",
            "postal_code": "662051635",
            "telephone_number": "913-831-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 MISSION RD",
            "city": "WESTWOOD",
            "state": "KS",
            "postal_code": "662051635",
            "telephone_number": "913-831-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFFENBAUGH",
        "first_name": "CINDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-26",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-100616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "c0d010j.s00998.us@wal-mart.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4701 Mission Rd",
            "city": "Westwood",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662051635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westwood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; 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.