Active NPI
John Isaacs
- Pharmacist
- Coffeyville, KS
National Provider Identifier
1992250005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-9683
- Practice address
- 1001 W 11TH St
Coffeyville, KS 67337-4220 - Phone
- (620) 251-2150
- Fax
- (620) 251-0022
- NPI assigned
- Aug 18, 2016
- Last updated
- Aug 18, 2016
- 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 | 1-9683 | KS | Primary |
Addresses
Primary practice location
1001 W 11TH St
Coffeyville, KS 67337-4220
Mailing address
1001 W 11TH St
Coffeyville, KS 67337-4220
Phone (620) 251-2150
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-9683 | KS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471478400000",
"number": "1992250005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 W 11TH ST",
"city": "COFFEYVILLE",
"state": "KS",
"postal_code": "673374220",
"telephone_number": "620-251-2150",
"fax_number": "620-251-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 W 11TH ST",
"city": "COFFEYVILLE",
"state": "KS",
"postal_code": "673374220",
"telephone_number": "620-251-2150",
"fax_number": "620-251-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISAACS",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-18",
"last_updated": "2016-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-9683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coffeyville, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.