NPIMap

Organization Active NPI

Ascension Medical Group Via Christi, PA

Doing business as Ascension Via Christi Pharmacy

  • Community/Retail Pharmacy
  • Wichita, KS
National Provider Identifier
1679584890
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2-10323 Issued in KS
Legal business name
ASCENSION MEDICAL GROUP VIA CHRISTI, PA
Doing business as
Ascension Via Christi Pharmacy
Via Christi Clinic Pharmacy
Practice address
3311 E Murdock St
Wichita, KS 67208-3054
Phone
(316) 274-8280
Fax
(316) 274-8438
NPI assigned
Aug 11, 2006
Last updated
Oct 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Authorized official

Name
Jacque Stearns, RPH
Title
Pharmacy Manager
Phone
(316) 274-8280

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2-10323 KS Primary

Addresses

Primary practice location

3311 E Murdock St
Wichita, KS 67208-3054

Mailing address

3311 E Murdock St
Wichita, KS 67208-3054
Phone (316) 274-8280

Other identifiers 2

IdentifierTypeStateIssuer
200726520AMedicaidKS
2132798OtherPK

Other names 2

  • Ascension Via Christi Pharmacy Doing business as
  • Via Christi Clinic Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wichita Clinic Ind Lab NE5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1679584890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 E MURDOCK ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083054",
            "telephone_number": "316-274-8280",
            "fax_number": "316-274-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 E MURDOCK ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083054",
            "telephone_number": "316-274-8280",
            "fax_number": "316-274-8438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION MEDICAL GROUP VIA CHRISTI, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "STEARNS",
        "authorized_official_first_name": "JACQUE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "316-274-8280",
        "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": "2-10323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200726520A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2132798",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Via Christi Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Via Christi Clinic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 16, 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.