Individual provider Active NPI

Martin Gale Volker, RPH

  • Pharmacist
  • Shawnee, KS
National Provider Identifier
1952778631
Registry record updated Aug 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
10558 Issued in KS
Practice address
13550 W 63Rd Street
Shawnee, KS 66216
Phone
(913) 962-2256
Fax
(913) 962-2369
NPI assigned
Aug 28, 2015
Last updated
Aug 28, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 10558 KS Primary

Addresses

Primary practice location

13550 W 63Rd Street
Shawnee, KS 66216

Mailing address

13550 W 63Rd Street
Shawnee, KS 66216
Phone (913) 962-2256

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

LicenseStateTypeSpecialty
10558KSMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440720000000",
    "number": "1952778631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13550 W 63RD STREET",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "66216",
            "telephone_number": "913-962-2256",
            "fax_number": "913-962-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13550 W 63RD STREET",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "66216",
            "telephone_number": "913-962-2256",
            "fax_number": "913-962-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLKER",
        "first_name": "MARTIN",
        "middle_name": "GALE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "10558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; 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.