Active NPI
Julia Kay Hendrickson, PHARMD
- Pharmacist
- Coffeyville, KS
National Provider Identifier
1922596972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-103755
- Practice address
- 1863 CR 5300
Coffeyville, KS 67337-8301 - Phone
- (620) 251-4145
- NPI assigned
- Apr 25, 2018
- Last updated
- Apr 25, 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 | 1-103755 | KS | Primary |
Addresses
Primary practice location
1863 CR 5300
Coffeyville, KS 67337-8301
Mailing address
15201 E 110TH St N
Owasso, OK 74055-7319
Phone (918) 728-5110
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 |
|---|---|---|---|
| 1-103755 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients |
Organizations & group practices 1
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": "1524614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524614400000",
"number": "1922596972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15201 E 110TH ST N",
"city": "OWASSO",
"state": "OK",
"postal_code": "740557319",
"telephone_number": "918-728-5110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1863 CR 5300",
"city": "COFFEYVILLE",
"state": "KS",
"postal_code": "673378301",
"telephone_number": "620-251-4145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICKSON",
"first_name": "JULIA",
"middle_name": "KAY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-25",
"last_updated": "2018-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-103755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coffeyville, KS
- Health Management of Kansas, Inc. (Assisted Living at Windsor Place)
- Health Managment of Kansas, Inc. (Windsor Place At-Home Care, LLC.)
- Health Managment of Kansas, Inc. (Assisted Living at Windsor Place, LLC.)
- Health Partners of America LLC
- Heart & Home Companion Care LLC
- Teresa Hopkins, OPTICIAN
- Bernard Edward Howerter, M.D.
- Gery Hsu, MD
- John Isaacs
- Susan D Jenkins, C.R.N.A.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.