LARISSA LIES (NPI# 1194113829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194113829 |
| Entity Type | Individual |
| Full Name | LARISSA LIES |
| Practice Address |
4747 S Broadway St Wichita KS 67216-1739 |
| Mailing Address |
7818 W 19th St N Wichita KS 67212-1496 |
| Practice Telephone | 3165244228 |
| Practice Fax Number | 3165299020 |
| Mailing Telephone | 3165244228 |
| Mailing Fax Number | 3165299020 |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-01-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
14884 | KS | Pharmacy Service Providers |
| Street Address |
4747 S BROADWAY ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67216-1739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508273509 | Greg Oehmke | Pharmacist | 4747 S Broadway St, Wichita, KS 67216-1739 | 2014-07-22 |
| 1821492653 | Bin Chen | Pharmacist | 4747 S Broadway St, Wichita, KS 67216-1739 | 2014-10-22 |
| 1639571797 | Huyen Alice Nguyen | Pharmacist | 4747 S Broadway St, Wichita, KS 67216-1739 | 2014-09-19 |
| 1275941056 | Ashlee Mcneil | Pharmacist | 4747 S Broadway St, Wichita, KS 67216-1739 | 2014-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104108422 | Howard W Hackney | Pharmacist | 5555 S. Broadway, Wichita, KS 67216 | 2011-09-13 |
| 1316057185 | Jimmy Lee Shadid | Dentist | 3367 E 47th South, Wichita, KS 67216 | 2006-08-30 |
| 1205877644 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 4747 S Broadway Ave, Wichita, KS 67216 | 2006-06-09 |
| 1790399376 | Miresha Andrews | Massage Therapist | 2851 S Mead St, Wichita, KS 67216-1112 | 2020-09-01 |
| 1629534250 | Mandilyn Coffman | Pharmacist | 2627 S Santa Fe St, Wichita, KS 67216-1132 | 2019-02-19 |
| 1780245522 | Monday T Akintuyi | Registered Nurse | 2828 S Ida St, Wichita, KS 67216-1353 | 2019-06-24 |
| 1740841493 | Compassionate Home Health LLC | Registered Nurse | 2828 S Ida St, Wichita, KS 67216-1353 | 2019-06-24 |
| 1114460813 | Ariel Clementi | Social Worker | 1201 E Jump St, Wichita, KS 67216-1360 | 2016-11-29 |
| 1205319472 | Blue Moon Therapy LLC | Clinic/Center | 400 N Woodlawn, Suite 100, Wichita, KS 67216-1360 | 2018-09-12 |
| 1871106740 | Stevie Jonae Metts | Technician | 1207 E Del Mar St, Wichita, KS 67216-1535 | 2020-08-28 |
| Find all providers in zip 67216 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194097766 | Todd Schroeder | Pharmacist | 929 N Saint Francis Street, Via Christi, Wichita, KS 67214 | 2012-01-30 |
| 1205435070 | David Duong | Pharmacist | 9450 E Harry St, Wichita, KS 67207-5074 | 2020-10-22 |
| 1538768452 | Tin T Le | Pharmacist | 3211 S Seneca St, Wichita, KS 67217-3348 | 2020-10-21 |
| 1750989448 | Anh T Le | Pharmacist | 7707 E Central Ave, Wichita, KS 67206-2190 | 2020-10-14 |
| 1285232934 | Huong Xuan Dong | Pharmacist | 3707 N Woodlawn Blvd, Wichita, KS 67220-2222 | 2020-10-14 |
| 1922606839 | Sue Lynn Robinson | Pharmacist | 3707 N Woodlawn Blvd, Wichita, KS 67220-2222 | 2020-10-13 |
| 1659981660 | Madeline Mahan Shipley | Pharmacist | 5500 E Harry St, Wichita, KS 67218-3826 | 2020-08-04 |
| 1013552629 | Yvonne Elias-moussa | Pharmacist | 1100 N Saint Francis Ave Ste 130, Wichita, KS 67214-2865 | 2019-11-07 |
| 1164076246 | Linh Le | Pharmacist | 5500 E Kellogg Dr, Wichita, KS 67218-1607 | 2019-07-28 |
| 1811485329 | Victoria Snyder | Pharmacist | 313 S Market St, Wichita, KS 67202-3805 | 2018-04-30 |
| 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.