Active NPI
Lela Susan Fung, PHARM.D.
- Pharmacotherapy Pharmacist
- Andover, KS
National Provider Identifier
1871870758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 1-14239
- Practice address
- 440 N Andover Rd
Andover, KS 67002-9508 - Phone
- (316) 689-0880
- NPI assigned
- Nov 7, 2011
- Last updated
- Nov 7, 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 1-14239 | KS | Primary |
Addresses
Primary practice location
440 N Andover Rd
Andover, KS 67002-9508
Mailing address
15110 E Spring Creek Dr
Wichita, KS 67230-9161
Phone (785) 979-8080
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 |
|---|---|---|---|
| 1-14239 | KS | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320624000000",
"number": "1871870758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15110 E SPRING CREEK DR",
"city": "WICHITA",
"state": "KS",
"postal_code": "672309161",
"telephone_number": "785-979-8080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 N ANDOVER RD",
"city": "ANDOVER",
"state": "KS",
"postal_code": "670029508",
"telephone_number": "316-689-0880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNG",
"first_name": "LELA",
"middle_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-07",
"last_updated": "2011-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "KS",
"license": "1-14239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Andover, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.