Active NPI
Mitchell Ranzenberger
- Pharmacist
- Olathe, KS
National Provider Identifier
1740779719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-15430
- Practice address
- 18555 W 151St St
Olathe, KS 66062-2725 - Phone
- (913) 489-3459
- NPI assigned
- May 6, 2018
- Sex
- Male
- 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 | 1-15430 | KS | Primary |
Addresses
Primary practice location
18555 W 151St St
Olathe, KS 66062-2725
Mailing address
16194 S Laurelwood St
Olathe, KS 66062-9323
Phone (913) 219-2871
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 |
|---|---|---|---|
| 1-15430 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients | |
| Walmart Inc. | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Olathe, KS
- NPI 1619301504
-
- Community/Retail Pharmacy
- Eastvale, CA
- NPI 1770458945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525564800000",
"number": "1740779719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16194 S LAURELWOOD ST",
"city": "OLATHE",
"state": "KS",
"postal_code": "660629323",
"telephone_number": "913-219-2871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18555 W 151ST ST",
"city": "OLATHE",
"state": "KS",
"postal_code": "660622725",
"telephone_number": "913-489-3459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANZENBERGER",
"first_name": "MITCHELL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-06",
"last_updated": "2018-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-15430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.