Active NPI
Kandi Kay Heida, PHARM D
- Pharmacist
- Wichita, KS
National Provider Identifier
1801179908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 115555
- Practice address
- 565 N Bristol CT
Wichita, KS 67206-4327 - Phone
- (402) 659-5773
- NPI assigned
- Sep 25, 2011
- 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 | 115555 | KS | Primary |
Addresses
Primary practice location
565 N Bristol CT
Wichita, KS 67206-4327
Mailing address
565 N Bristol CT
Wichita, KS 67206-4327
Phone (402) 659-5773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KS1-15555 | Other | KS | KANSAS STATE BOARD OF PHARMACY |
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 |
|---|---|---|---|
| 115555 | KS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316908800000",
"number": "1801179908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "565 N BRISTOL CT",
"city": "WICHITA",
"state": "KS",
"postal_code": "672064327",
"telephone_number": "402-659-5773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 N BRISTOL CT",
"city": "WICHITA",
"state": "KS",
"postal_code": "672064327",
"telephone_number": "402-659-5773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIDA",
"first_name": "KANDI",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-25",
"last_updated": "2011-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "115555",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KANSAS STATE BOARD OF PHARMACY",
"identifier": "KS1-15555",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}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 Sep 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.