Active NPI
Brenda Christensen Boeke, PHARMD
- Pharmacist
- Leavenworth, KS
National Provider Identifier
1730710849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 042422
- Practice address
- 5000 S 13TH St
Leavenworth, KS 66048-5581 - Phone
- (913) 290-7258
- NPI assigned
- Jan 28, 2020
- Last updated
- Jan 28, 2020
- Sex
- Female
- 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 | 042422 | MO | Primary |
Addresses
Primary practice location
5000 S 13TH St
Leavenworth, KS 66048-5581
Mailing address
10112 NE 98TH St
Kansas City, MO 64157-9703
Phone (816) 820-3159
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042422 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1730710849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10112 NE 98TH ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641579703",
"telephone_number": "816-820-3159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 S 13TH ST",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "660485581",
"telephone_number": "913-290-7258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOEKE",
"first_name": "BRENDA",
"middle_name": "CHRISTENSEN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-28",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "042422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leavenworth, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.