Active NPI
Tamara L Willits, RPH
- Pharmacist
- Lawrence, KS
National Provider Identifier
1700898137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-11118
- Practice address
- 2336 Ridge CT
Ste C
Lawrence, KS 66046-3983 - Phone
- (785) 841-1950
- Fax
- (785) 841-1051
- NPI assigned
- Aug 13, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 1-11118 | KS | Primary |
Addresses
Primary practice location
2336 Ridge CT
Ste C
Lawrence, KS 66046-3983
Mailing address
1049 Moundridge Dr
Lawrence, KS 66049-3724
Phone (785) 841-2755
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-11118 | Other | KS | STATE LICENSE NUMBER |
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-11118 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Qualicare Inc | Current | Accepting new patients | |
| Keep Living Home Plus, LLC | Current | Accepting new patients |
Locations
2336 Ridge Ct
Ste C
Lawrence, KS 66046
Phone (785) 841-1950
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 and National Provider Directory roles.
-
- Adult Care Home Facility
- Topeka, KS
- NPI 1366311680
-
- Long Term Care Pharmacy
- Lawrence, KS
- NPI 1710934369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700898137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1049 MOUNDRIDGE DR",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660493724",
"telephone_number": "785-841-2755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2336 RIDGE CT",
"address_2": "STE C",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660463983",
"telephone_number": "785-841-1950",
"fax_number": "785-841-1051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLITS",
"first_name": "TAMARA",
"middle_name": "L",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-11118",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "1-11118",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.