MR. KURT WILLIAM VOLLERTSEN (NPI# 1124110960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124110960 |
| Entity Type | Individual |
| Full Name | MR. KURT WILLIAM VOLLERTSEN |
| Practice Address |
142 S Penn Ave Oberlin KS 67749-2243 |
| Practice Telephone | 7854752285 |
| Practice Fax Number | 7854702470 |
| Mailing Telephone | 7854752285 |
| Mailing Fax Number | 7854702470 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2013-03-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 10195 | KS | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100440200A | 05 | |
| KS | 100440200B | 05 |
| Street Address |
142 S PENN AVE |
| City | OBERLIN |
| State | KS |
| Zip Code | 67749-2243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659480325 | Vollertsen-oberlin Inc | Durable Medical Equipment & Medical Supplies | 142 S Penn Ave, Oberlin, KS 67749-2243 | 2006-08-29 |
| 1487184172 | Derek Michael Chambers | Pharmacist | 142 S Penn Ave, Oberlin, KS 67749-2243 | 2017-06-14 |
| 1790182954 | Rice, P.a. | Pharmacy | 142 S Penn Ave, Oberlin, KS 67749-2243 | 2014-12-03 |
| 1699836866 | Vollertsen-oberlin Inc | Pharmacy | 142 S Penn Ave, Oberlin, KS 67749-2243 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366879447 | Jennifer L. Juenemann | Speech-Language Pathologist | 108 East Ash, Good Samaritan Society, Oberlin, KS 67749 | 2013-10-03 |
| 1417953365 | Jeffery W. Mckinley | Family Medicine | 810 W Columbia St, Oberlin, KS 67749 | 2005-06-24 |
| 1215046867 | Douglas M Fair, D.c., P.a. | Chiropractor | 504 N Penn Ave, Oberlin, KS 67749-1619 | 2006-08-29 |
| 1952865545 | Kirsten Elizabeth Lavers | Massage Therapist | 504 N Penn Ave, Oberlin, KS 67749-1619 | 2019-01-28 |
| 1861750234 | Britta Noel Noren | Massage Therapist | 504 N Penn Ave, Oberlin, KS 67749-1619 | 2012-04-24 |
| 1235461195 | Unger Chiropractic Clinic | Chiropractor | 504 N Penn Ave, Oberlin, KS 67749-1619 | 2010-02-03 |
| 1477760239 | Shannon R Addleman | Chiropractor | 504 N Penn Ave, Oberlin, KS 67749-1619 | 2007-05-17 |
| 1689798910 | Douglas M Fair | Chiropractor | 504 N Penn Ave, Oberlin, KS 67749-1619 | 2007-03-19 |
| 1063403228 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 108 E Ash St, Oberlin, KS 67749-1908 | 2005-11-04 |
| 1720419328 | Jody Robertson | Physical Therapy Assistant | 108 E Ash St, Oberlin, KS 67749-1908 | 2013-12-06 |
| Find all providers in zip 67749 | ||||
| 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 |
|---|---|---|---|---|
| 1912508060 | Lin Urquhart | Pharmacist | 46440 Us Route 20, Oberlin, OH 44074 | 2020-11-05 |
| 1962002527 | Stephanie Spanos | Pharmacist | 46440 Us Highway 20, Oberlin, OH 44074-9475 | 2020-10-31 |
| 1134729049 | Anthony Edward Ferstler | Pharmacist | 46440 Us Highway 20, Oberlin, OH 44074-9475 | 2020-10-29 |
| 1487184172 | Derek Michael Chambers | Pharmacist | 142 S Penn Ave, Oberlin, KS 67749-2243 | 2017-06-14 |
| 1295191419 | Christopher Stacko | Pharmacist | 46440 Us Highway 20, Oberlin, OH 44074-9475 | 2016-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022794 | Lauren Tenold | Pharmacist | 8913 W 131st St, Overland Park, KS 66213-3607 | 2020-11-01 |
| 1740888700 | Shannon Poell | Pharmacist | 1500 W 10th St, Topeka, KS 66604 | 2020-10-13 |
| 1255946513 | Kelly Robertson | Pharmacist | 3901 Rainbow Blvd # Ms 4040, Kansas City, KS 66160-8500 | 2020-09-14 |
| 1609488048 | Taryn Mitchell | Pharmacist | 3910 10th St, Great Bend, KS 67530 | 2020-08-18 |
| 1205447984 | Brooke Nichole Steiner | Pharmacist | 21702 W 58th St, Shawnee, KS 66218-8933 | 2020-08-14 |
| 1245840313 | Matthew Kirmse | Pharmacist | 2860 Sw Mission Woods Dr Ste A2, Topeka, KS 66614-5604 | 2020-08-04 |
| 1043829104 | Paul George Sampson | Pharmacist | 620 Birch St, Wakefield, KS 67487-9032 | 2020-07-24 |
| 1770191132 | Glenn Kruk | Pharmacist | 2205 Buckner Dr, Manhattan, KS 66503-2159 | 2020-07-21 |
| 1245858471 | Colby Robert Andreasen-cannon | Pharmacist | 1863 5300 Rd, Coffeyville, KS 67337 | 2020-07-14 |
| 1164046736 | Jeffrey Lewis | Pharmacist | 705 Arkansas St Apt B, Lawrence, KS 66044-2350 | 2020-05-29 |
| Find all providers with the same taxonomy | ||||
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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.