Douglas Lloyd Funk, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

10391 Issued in KS

Practice address

4921 W 18TH St
Lawrence, KS 66047-2090

Phone

(785) 830-0100

Fax

(785) 830-0115

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1972546679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 ELMHURST AVE",
            "city": "CONCORDIA",
            "state": "KS",
            "postal_code": "66901",
            "telephone_number": "785-243-4414",
            "fax_number": "785-243-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 W 18TH ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660472090",
            "telephone_number": "785-830-0100",
            "fax_number": "785-830-0115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 Elmhurst Ave",
            "address_purpose": "LOCATION",
            "city": "Concordia",
            "state": "KS",
            "postal_code": "66901",
            "country_code": "US",
            "telephone_number": "785-243-4414 x239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUNK",
        "first_name": "DOUGLAS",
        "middle_name": "LLOYD",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "10391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy M Fry, PH.D.
• Sarah Elizabeth Fry, LMFT, TLMAC
• Karen Frykholm, LCMFT
• Nora H Fulks
• Heather Marie Casey Fuller, LSCSW
• Ryan Thomas Funk, LMSW, LMAC
• Jamie Marie Gabriel, LSCSW
• Theresa Marie Gabrielson, LMSW
• Gadugi Safecenter, Inc.
• Emmarie Gainer

• Pharmacist in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Pharmacist in Kansas

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

Verify at the official NPI Registry.