Adele Botan Chimi-Lakbub, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

1100689 Issued in KS

Practice address

4016 W 95TH St
Prairie Village, KS 66207-2702

Phone

(913) 307-3057

NPI assigned

Jul 22, 2020

Last updated

Jul 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Walgreen Co

  dba Walgreens # 13032

  • Pharmacy
  • Prairie Village, KS
  • NPI 1659699213
  NPD
• Walgreen Co

  dba Walgreens #21605

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1801405139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 N MARTWAY DR APT 109",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617047",
            "telephone_number": "901-220-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 W 95TH ST",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662072702",
            "telephone_number": "913-307-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIMI-LAKBUB",
        "first_name": "ADELE",
        "middle_name": "BOTAN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1100689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "00000000",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "I9133073057",
            "affiliation": "N",
            "endpointDescription": "9133073057",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "9133073057",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "9133073057",
            "address_1": "4016 W 95th St",
            "city": "Prairie Village",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662072702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nancy Childers, COTA
• Children's Mercy - Village Pediatrics (Village Pediatrics - An Affiliate of Children's Mercy)
• Children's Physical Therapy Associates LLC
• Children's Physical Therapy LLC
• Donna S. Childs, M.D.
• Jennifer Chrisco, DPT
• Mark C Chubb
• Julia Cindrich
• Claire L Barron PHD. Inc.
• Clark C. Chaney DDS, LLC.

• Pharmacist in Prairie Village, KS
• Providers in Prairie Village, KS by specialty
• Pharmacist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.

Verify at the official NPI Registry.