Individual provider Active NPI

Jennifer Clausing, RPH

  • Pharmacist
  • El Dorado, KS
National Provider Identifier
1992180202
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1-12457 Issued in KS
Practice address
205 N. Vine
El Dorado, KS 67042
Phone
(316) 321-5330
Fax
(316) 321-1254
NPI assigned
Jul 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 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 1-12457 KS Primary

Addresses

Primary practice location

205 N. Vine
El Dorado, KS 67042

Mailing address

205 N. Vine
El Dorado, KS 67042
Phone (316) 321-5330

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
1-12457KSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
El Dorado Pharmacy Inc CurrentSince Jul 24, 2022 Accepting new patients
El Dorado Pharmacy Inc Current Accepting new patients

Locations

205 N Vine St
El Dorado, KS 67042
Phone (316) 321-5330

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1992180202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N. VINE",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "67042",
            "telephone_number": "316-321-5330",
            "fax_number": "316-321-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N. VINE",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "67042",
            "telephone_number": "316-321-5330",
            "fax_number": "316-321-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAUSING",
        "first_name": "JENNIFER",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-12457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, KS

Sources for this page

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