Active NPI
Jonathan Murray
- Pharmacist
- Shawnee, KS
National Provider Identifier
1689397838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-14570
- Practice address
- 6510 Nieman Rd
Shawnee, KS 66203-3328 - Phone
- (913) 248-0437
- NPI assigned
- Sep 22, 2022
- Last updated
- Sep 22, 2022
- Sex
- Male
- 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 | 1-14570 | KS | Primary |
Addresses
Primary practice location
6510 Nieman Rd
Shawnee, KS 66203-3328
Mailing address
6510 Nieman Rd
Shawnee, KS 66203-3328
Phone (913) 248-0437
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 |
|---|---|---|---|
| 1-14570 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas CVS Pharmacy LLC | Past | Accepting new patients | |
| Kansas CVS Pharmacy, L.L.C | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663804800000",
"number": "1689397838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6510 NIEMAN RD",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662033328",
"telephone_number": "913-248-0437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6510 NIEMAN RD",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662033328",
"telephone_number": "913-248-0437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "JONATHAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-22",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-14570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shawnee, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.