Active NPI
Traci L Eddy, R.PH.
- Pharmacist
- Topeka, KS
National Provider Identifier
1952369993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-11800
- Practice address
- 3401 SW 21St St
Topeka, KS 66604-3302 - Phone
- (785) 350-3723
- NPI assigned
- May 1, 2006
- 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 | 1-11800 | KS | Primary |
Addresses
Primary practice location
3401 SW 21St St
Topeka, KS 66604-3302
Mailing address
1896 E 850TH Rd
Lecompton, KS 66050-4061
Phone (785) 887-6862
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-11800 | KS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216598400000",
"number": "1952369993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1896 E 850TH RD",
"city": "LECOMPTON",
"state": "KS",
"postal_code": "660504061",
"telephone_number": "785-887-6862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 SW 21ST ST",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666043302",
"telephone_number": "785-350-3723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDDY",
"first_name": "TRACI",
"middle_name": "L",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-01",
"last_updated": "2008-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-11800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.