Active NPI
Jeremi Whitham
- Pharmacist
- Tribune, KS
National Provider Identifier
1831673904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-13682
- Practice address
- 422 Broadway Ave
Tribune, KS 67879-7701 - Phone
- (620) 376-4224
- NPI assigned
- Sep 24, 2018
- Last updated
- Sep 24, 2018
- 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 | 1-13682 | KS | Primary |
Addresses
Primary practice location
422 Broadway Ave
Tribune, KS 67879-7701
Mailing address
PO Box 687
Tribune, KS 67879-0687
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 |
|---|---|---|---|
| 1-13682 | KS | MD | Pharmacist |
Practice roles
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537747200000",
"number": "1831673904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 687",
"city": "TRIBUNE",
"state": "KS",
"postal_code": "678790687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 BROADWAY AVE",
"city": "TRIBUNE",
"state": "KS",
"postal_code": "678797701",
"telephone_number": "620-376-4224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITHAM",
"first_name": "JEREMI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-24",
"last_updated": "2018-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-13682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tribune, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.