INFECTIOUS DISEASE CONSULTANTS, P.A. (NPI# 1669889978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669889978 |
| Entity Type | Organization |
| Organization Name | INFECTIOUS DISEASE CONSULTANTS, P.A. |
| Other Organization Name | IDC PHARMACY |
| Practice Address |
1100 N Saint Francis St Suite 150 Wichita KS 67214-2878 |
| Practice Telephone | 3168331212 |
| Practice Fax Number | 3162640908 |
| Mailing Telephone | 3168331212 |
| Mailing Fax Number | 3162640908 |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2017-10-06 |
| Authorized Official Name | MAHA A ASSI (MANAGING PARTNER) |
| Authorized Official Telephone | 3168331212 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | INFECTIOUS DISEASE CONSULTANTS P.A. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
2-13041 | KS | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2-13041 | KS | Suppliers |
| Other Name | Type Code |
|---|---|
| IDC Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306830641 | Infectious Disease Consultants, P.a. | Internal Medicine | 1100 N Saint Francis St, Suite 130, Wichita, KS 67214-2878 | 2005-09-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INFECTIOUS DISEASE CONSULTANTS, P.A. | 1100 N Saint Francis St Ste 130, Wichita, KS 67214-2865 |
| Street Address |
1100 N SAINT FRANCIS ST SUITE 150 |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-2878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407851181 | Thomas A. Moore | Internal Medicine | 1100 N Saint Francis St, Suite 130, Wichita, KS 67214-2878 | 2005-06-17 |
| 1356764591 | Whitney Erin Loganbill | Physician Assistant | 1100 N Saint Francis St, Suite 130, Wichita, KS 67214-2878 | 2014-01-23 |
| 1013344613 | Jennie P Le | Nurse Practitioner | 1100 N Saint Francis St, Suite 130, Wichita, KS 67214-2878 | 2013-09-27 |
| 1093079394 | Monica M Wellemeyer | Physician Assistant | 1100 N Saint Francis St, Suite 130, Wichita, KS 67214-2878 | 2012-07-02 |
| 1053674515 | Jane Kamuren | Internal Medicine | 1100 N Saint Francis St, Wichita, KS 67214-2878 | 2012-06-20 |
| 1326353350 | Amanda J Blackmore | Physician Assistant | 1100 N Saint Francis St, Ste 130, Wichita, KS 67214-2878 | 2010-08-14 |
| 1326365503 | Preferred Medical Associates | Family Medicine | 1100 N Saint Francis St, 4th Floor, Wichita, KS 67214-2878 | 2010-04-27 |
| 1770805442 | Infectious Disease Consultants P.a | Internal Medicine | 1100 N Saint Francis St, Suite 130, Wichita, KS 67214-2878 | 2010-02-23 |
| 1043442445 | Matthew A Swanson | Physician Assistant | 1100 N Saint Francis St, Ste 130, Wichita, KS 67214-2878 | 2009-08-18 |
| 1447314125 | Desiree Anne Schmidt | Physician Assistant | 1100 N Saint Francis St, Ste 130, Wichita, KS 67214-2878 | 2006-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
| 1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
| 1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
| 1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
| 1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
| 1063899813 | Christy Lee Foos | Social Worker | 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 | 2015-04-30 |
| 1952708018 | William Schroeder Fargo | Specialist | 701 N. Emporia, Wichita, KS 67214 | 2014-12-04 |
| 1447692710 | Valeriya V Hunter | Dentist | 527 N Grove, Wichita, KS 67214 | 2013-07-26 |
| Find all providers in zip 67214 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174132161 | Ascension Via Christi Hospitals Wichita Inc. | Pharmacy | 3600 E Harry St Rm 2001, Wichita, KS 67218-3713 | 2020-07-27 |
| 1356807044 | Dandurand Wellness, Inc. | Pharmacy | 550 N Hillside St Ste 3-100, Wichita, KS 67214-4910 | 2019-02-18 |
| 1548737182 | West Wichita Family Pharmacy LLC | Pharmacy | 8200 W Central Ave Ste 5, Wichita, KS 67212-3661 | 2018-11-01 |
| 1629588454 | Neighborhood Pharmacy 0002 LLC | Pharmacy | 328 E Pawnee St, Wichita, KS 67211-4847 | 2017-10-06 |
| 1548711484 | Wal-mart Pharmacy | Pharmacy | 2200 S Rock Rd, Apartment 1014, Wichita, KS 67207-5300 | 2016-10-15 |
| 1245623677 | Costco Wholesale Corporation | Pharmacy | 9700 E. Kellogg, Wichita, KS 67207 | 2015-03-10 |
| 1184967804 | Davis Family Pharmacy, LLC | Pharmacy | 2131 N Ridge Rd Ste 103, Wichita, KS 67212-1571 | 2013-04-01 |
| 1447578216 | Kwik Shop Inc | Pharmacy | 7107 W 37th St N, Wichita, KS 67205-9360 | 2010-05-04 |
| 1710002811 | Hac Inc | Pharmacy | 1910 W 21st St N, Wichita, KS 67203-2105 | 2007-03-20 |
| 1013072289 | Rcr East, LLC | Pharmacy | 2350 N Greenwich Rd, Suite 1000, Wichita, KS 67226-8269 | 2006-12-27 |
| 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.