Active NPI
Parker Bolejack, PHARMD
- Pharmacist
- Wichita, KS
National Provider Identifier
1992080782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-14845
- Practice address
- 3333 E Central Ave
Wichita, KS 67208 - Phone
- (316) 682-2999
- Fax
- (316) 682-4515
- NPI assigned
- Oct 12, 2011
- Last updated
- Dec 21, 2022
- Sex
- Male
- 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 | 1-14845 | KS | Primary |
Addresses
Primary practice location
3333 E Central Ave
Wichita, KS 67208
Mailing address
550 S 129TH St
Bonner Springs, KS 66012-9210
Phone (913) 543-5001
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 |
|---|---|---|---|
| 1-14845 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
550 S 129th St
Bonner Springs, KS 66012
Phone (913) 543-5001
Organizations & group practices 3
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": "1318377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1992080782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 S 129TH ST",
"city": "BONNER SPRINGS",
"state": "KS",
"postal_code": "660129210",
"telephone_number": "913-543-5001",
"fax_number": "913-543-5007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 E CENTRAL AVE",
"city": "WICHITA",
"state": "KS",
"postal_code": "67208",
"telephone_number": "316-682-2999",
"fax_number": "316-682-4515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLEJACK",
"first_name": "PARKER",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-12",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-14845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.