DR. TERRY BONTRAGER (NPI# 1023478245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023478245 |
Entity Type | Individual |
Full Name | DR. TERRY BONTRAGER |
Credential | PHARM.D. |
Practice Address |
3601 N Webb Rd Wichita KS 67226-8129 |
Practice Telephone | 3166305350 |
Practice Fax Number | 3166306349 |
Mailing Telephone | 3166305350 |
Mailing Fax Number | 3166306349 |
Enumeration Date | 2016-03-01 |
Last Update Date | 2016-03-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 1-12617 | KS | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | KANSAS STATE BOARD OF PHARMACY | 1-12617 | 01 |
Street Address |
3601 N WEBB RD |
City | WICHITA |
State | KS |
Zip Code | 67226-8129 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609856855 | Kansas Anesthesia Services LLC | Anesthesiology | 3601 N Webb Rd, Wichita, KS 67226-8129 | 2006-01-21 |
1801223565 | Robert Henry Wilgers | Radiologic Technologist | 3601 N Webb Rd, Wichita, KS 67226-8129 | 2013-09-26 |
1013212885 | Dawn M Schake | Nurse Practitioner | 3601 N Webb Rd, Wichita, KS 67226-8129 | 2011-01-25 |
1093048431 | Cardiovascular Anesthesia of Wichita, LLC | Nurse Anesthetist, Certified Registered | 3601 N Webb Rd, Wichita, KS 67226-8129 | 2009-09-17 |
1053517367 | Narayan Mudaliar | Social Worker | 3601 N Webb Rd, Wichita, KS 67226-8129 | 2007-06-23 |
1306816111 | Thomas Hutchinson | Anesthesiology | 3601 N Webb Rd, Wichita, KS 67226-8129 | 2006-01-24 |
1063492213 | Richard Combs | Nurse Anesthetist, Certified Registered | 3601 N Webb Rd, Wichita, KS 67226-8129 | 2006-01-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386111649 | Kansas Diabetes and Endocrinology Center LLC | Clinic/Center | 3161 N Webb Rd, Suite 200, Wichita, KS 67226 | 2018-10-25 |
1619474020 | Village Dentistry, Pa | Dentist | 2222 N. Greenwich, Suite 400, Wichita, KS 67226 | 2018-04-11 |
1861910408 | Lindsay Beth Kachelmeier | Marriage & Family Therapist | 6525 E Mainsgate, Wichita, KS 67226 | 2017-09-04 |
1659800084 | Doris Kimbrell | Clinical Nurse Specialist | 8200 East Thorn, Wichita, KS 67226 | 2017-06-08 |
1467986836 | Megan Elizabeth Couey | Counselor | 8623 E 32nd St. N, Suite 100, Wichita, KS 67226 | 2017-04-12 |
1306298922 | Wilson Yip | Dentist | 2222 N Greenwich Rd, Wichita, KS 67226 | 2016-07-07 |
1396102315 | Healthy Balance Center, LLC | Marriage & Family Therapist | 8100 E 22nd St. North, #1800-2, Wichita, KS 67226 | 2016-01-21 |
1851775142 | Cardiac Cath Lab of Wichita Lp | Clinic/Center | 3555 North Webb Rd., Suite A, Wichita, KS 67226 | 2015-07-16 |
1114334067 | Jane Crawford | Nurse Practitioner | 8623 E 32nd St N, Wichita, KS 67226 | 2014-07-11 |
1801202882 | Erin Kellie Jeffress | Occupational Therapy Assistant | 3500 N Rock Rd, Building 2200, Ste 101, Wichita, KS 67226 | 2014-07-10 |
Find all providers in zip 67226 |
Taxonomy Code | 183500000X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629534250 | Mandilyn Coffman | Pharmacist | 2627 S Santa Fe St, Wichita, KS 67216-1132 | 2019-02-19 |
1780166587 | Melissa Schmidt | Pharmacist | 6110 W Kellogg Dr Stop 1, Wichita, KS 67209-2350 | 2018-08-29 |
1619454337 | Zachary Hill | Pharmacist | 6110 W Kellogg, Wichita, KS 67209 | 2018-07-25 |
1962903906 | Nalini Fraser | Pharmacist | 2806 W Driftwood Cir, Wichita, KS 67204-2340 | 2018-02-26 |
1093221202 | Amber Thomas | Pharmacist | 1100 N Saint Francis Ave Ste 200, Wichita, KS 67214-2866 | 2017-12-26 |
1396260121 | Keegan Hemberger | Pharmacist | 555 N. Maize Road, Wichita, KS 67212 | 2017-08-14 |
1194250688 | Ebube Otuonye | Pharmacist | 2251 E 21st St N Ste 121, Neighborhood Pharmacy, Wichita, KS 67214-1976 | 2017-04-22 |
1851838874 | Steve Parker | Pharmacist | 539 S Fawnwood Ct, Wichita, KS 67235-7540 | 2017-01-28 |
1508317959 | Julie P Nguyen | Pharmacist | 9700 E Kellogg Dr, Wichita, KS 67207-1821 | 2016-10-20 |
1538531942 | Rachel George | Pharmacist | 14135 W Onewood Ct, Wichita, KS 67235-3412 | 2015-10-25 |
Find all providers in WICHITA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.