MR. JAMES MCKEE BREDAHL (NPI# 1952683013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952683013 |
| Entity Type | Individual |
| Full Name | MR. JAMES MCKEE BREDAHL |
| Credential | RPH |
| Practice Address |
17730 189th St Tonganoxie KS 66086-5173 |
| Practice Telephone | 7853648275 |
| Mailing Telephone | 7853648275 |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
1-10349 | KS | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | KANSAS STATE BOARD OF PHARMACY | 1-10349 | 01 |
| Street Address |
17730 189TH ST |
| City | TONGANOXIE |
| State | KS |
| Zip Code | 66086-5173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578798385 | Vintage Park At Tonganoxie, LLC | Assisted Living Facility | 120 W. 8th Street, Tonganoxie, KS 66086 | 2009-05-22 |
| 1629217336 | Jrr, Dds, LLC | Dentist | 504 E. 4th St., Tonganoxie, KS 66086 | 2009-02-19 |
| 1386768075 | Josh Adams | Specialist/Technologist | 2315 E. Sycamore St., Tonganoxie, KS 66086 | 2007-03-19 |
| 1144579558 | Physical Therapy Solutions LLC | Physical Therapist | 1198 Front St, Tonganoxie, KS 66086 | 2012-08-30 |
| 1255562542 | Karen Rogers | Case Manager/Care Coordinator | 304 West Street, Tonganoxie, KS 66086 | 2009-08-04 |
| 1285882878 | Chad Leever | Case Manager/Care Coordinator | 304 West Street, Tonganoxie, KS 66086 | 2008-09-08 |
| 1043544042 | Unified School District No. 464 | Clinic/Center | 330 East 24/40 Hwy, Tonganoxie, KS 66086-0199 | 2009-09-23 |
| 1770746521 | Susan Bozarth | Case Manager/Care Coordinator | 304 West Street, Tonganoxie, KS 66086-0252 | 2008-07-02 |
| 1699952713 | Carrie Koch | Case Manager/Care Coordinator | 304 West, Tonganoxie, KS 66086-0252 | 2008-01-31 |
| 1356575468 | Kristi L Pletcher | Case Manager/Care Coordinator | 304 West Street, Tonganoxie, KS 66086-0252 | 2009-05-05 |
| Find all providers in zip 66086 | ||||
| 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 |
|---|---|---|---|---|
| 1639719016 | Stacie Lynn Niehues | Pharmacist | 2010 Se 29th St Ste B, Topeka, KS 66605-3311 | 2020-01-13 |
| 1144860164 | Jacqueline Baker | Pharmacist | 8709 W 80th St, Overland Park, KS 66204-3305 | 2020-01-07 |
| 1366815714 | Brandon Thomas | Pharmacist | 4104 S 4th St, Leavenworth, KS 66048-5082 | 2015-11-06 |
| 1861818429 | Katherine Marie Lurk | Pharmacist | 7101 College Blvd Ste 600, Overland Park, KS 66210-2083 | 2014-03-06 |
| 1073865374 | David R Schoech | Pharmacist | 922 W Country Rd, Columbus, KS 66725-3003 | 2012-10-10 |
| 1629343819 | Gary Gene Coleman | Pharmacist | 20816 W 99th St, Lenexa, KS 66220-2699 | 2012-03-20 |
| 1194097766 | Todd Schroeder | Pharmacist | 929 N Saint Francis Street, Via Christi, Wichita, KS 67214 | 2012-01-30 |
| 1245510882 | Kevin D. Myers | Pharmacist | 2110 Nw Topeka Blvd, Topeka, KS 66608-1831 | 2011-08-26 |
| 1972800662 | Alireza Ahmadian | Pharmacist | 14631 S Garnett St, Olathe, KS 66062-8411 | 2011-02-16 |
| 1205435070 | David Duong | Pharmacist | 9450 E Harry St, Wichita, KS 67207-5074 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
| City | TONGANOXIE |
| Zip Code | 66086 |
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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.