ASCENSION MEDICAL GROUP VIA CHRISTI, PA (NPI# 1679584890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679584890 |
| Entity Type | Organization |
| Organization Name | ASCENSION MEDICAL GROUP VIA CHRISTI, PA |
| Other Organization Name | VIA CHRISTI CLINIC PHARMACY |
| Practice Address |
3311 E Murdock St Wichita KS 67208-3054 |
| Practice Telephone | 3162748280 |
| Practice Fax Number | 3162748438 |
| Mailing Telephone | 3162748280 |
| Mailing Fax Number | 3162748438 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2019-10-16 |
| Authorized Official Name | JACQUE STEARNS (PHARMACY MANAGER) |
| Authorized Official Telephone | 3162748280 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2-10323 | KS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200726520A | 05 | |
| PK | 2132798 | 01 |
| Other Name | Type Code |
|---|---|
| Ascension Via Christi Pharmacy | Doing Business As Name - Organization |
| Via Christi Clinic Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763463 | Ascension Medical Group Via Christi, Pa | Clinic/Center | 102 E Main St, Mulvane, KS 67110-1751 | 2020-09-08 |
| 1538773569 | Ascension Medical Group Via Christi, Pa | Clinic/Center | 507 E 16th St Ste 1, Wellington, KS 67152-2828 | 2020-09-08 |
| 1013374990 | Ascension Medical Group Via Christi, Pa | Radiology | 3311 E Murdock St, Wichita, KS 67208-3054 | 2016-01-22 |
| 1952593915 | Ascension Medical Group Via Christi, Pa | Clinic/Center | 750 N Socora St, Suite 100, Wichita, KS 67212-3793 | 2007-08-14 |
| 1073523452 | Ascension Medical Group Via Christi, Pa | Clinic/Center | 1947 N Founders St, Wichita, KS 67206-3548 | 2006-08-09 |
| 1417967365 | Ascension Medical Group Via Christi, Pa | Clinic/Center | 818 N Carriage Pkwy, Wichita, KS 67208-4511 | 2006-08-09 |
| 1063453991 | Ascension Medical Group Via Christi, Pa | Clinic/Center | 3311 E Murdock St, Wichita, KS 67208 | 2006-06-10 |
| Street Address |
3311 E MURDOCK ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67208-3054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811987324 | Bushra Sulieman | Internal Medicine | 3311 E Murdock St, Wichita, KS 67208-3054 | 2005-10-26 |
| 1770057812 | Hannah Roth | Physician Assistant | 3311 E Murdock St, Wichita, KS 67208-3054 | 2019-01-11 |
| 1881167682 | Megan Theresa Poell | Registered Nurse | 3311 E Murdock St, Wichita, KS 67208 | 2019-01-04 |
| 1629552484 | Nichole L Fischer | Nurse Practitioner | 3311 E Murdock St, Wichita, KS 67208-3054 | 2018-09-18 |
| 1215436647 | Joshua Cody Forsberg | Nurse Practitioner | 3311 E Murdock St, Wichita, KS 67208-3054 | 2018-02-12 |
| 1619484540 | Kelsey Olson | Licensed Practical Nurse | 3311 E Murdock St, Wichita, KS 67208-3054 | 2017-12-31 |
| 1174045520 | Genevieve Jo Gutierrez Davis | Nurse Practitioner | 3311 E Murdock St, Wichita, KS 67208-3054 | 2017-07-07 |
| 1013374990 | Ascension Medical Group Via Christi, Pa | Radiology | 3311 E Murdock St, Wichita, KS 67208-3054 | 2016-01-22 |
| 1013372671 | Krista Fischer | Nurse Practitioner | 3311 E Murdock St, Wichita, KS 67208-3054 | 2015-12-28 |
| 1639544992 | Tressie Maugans | Nurse Practitioner | 3311 E Murdock St, Wichita, KS 67208-3054 | 2015-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316218 | Wesley Urgent Care, LLC | Clinic/Center | 2060 N. Mid Campus Dr., Wichita, KS 67208 | 2019-09-24 |
| 1023574209 | Unified Care Homes, Inc. | Custodial Care Facility | 5705 E Rockhill, Wichita, KS 67208 | 2019-02-13 |
| 1164940730 | Donita Hock | Occupational Therapy Assistant | 622 N. Edgemoor St., Wichita, KS 67208 | 2017-09-05 |
| 1427439546 | Mental Health Association of Sck | Community/Behavioral Health | 555 N Woodlawn, S 3105, Wichita, KS 67208 | 2015-06-15 |
| 1013311430 | Adrian Matta | Occupational Therapy Assistant | 1915 Farmstead Street, Wichita, KS 67208 | 2014-10-14 |
| 1700285343 | Stephanie Kendrick | Physical Therapist | 4921 E. 21st Street North, Wichita, KS 67208 | 2014-08-20 |
| 1689087942 | Apeksha Sathyaprasad | Pediatrics | 3243 E Murdock St Ste 402, Wichita, KS 67208 | 2014-06-04 |
| 1437418019 | J. W, Leisy M.d.p.a. | Psychiatry & Neurology | 3310 East Douglas #101, Wichita, KS 67208 | 2012-05-16 |
| 1184993156 | College Hill-ltc LLC | Skilled Nursing Facility | 5005 East 21st Street North, Wichita, KS 67208 | 2011-12-21 |
| 1255616132 | Thane M Vaneaton | Pharmacist | 3333 East Central, Wichita, KS 67208 | 2011-10-11 |
| Find all providers in zip 67208 | ||||
| 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.