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Active NPI 1225757065 Individual Practitioner Female Practitioner

Khanthaly Phommata

Pharmacy Technician • Olathe, KS

Professional Overview & Biography Verified Profile Summary

Khanthaly Phommata is a registered healthcare professional specializing in Pharmacy Technician in Olathe, KS. Practice services are available at 2101 E SANTA FE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2101 E Santa Fe St

Olathe, KS 660621606

Telephone 9137822323
Associated Practice Facility / Clinic
🏢 Four B Corp Facility NPI 1639284730

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacy Technician in Olathe, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Olathe, KS (40 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-08-24
Pharmacy Technician Primary Specialty

NUCC Taxonomy Code: 183700000X

State License KS 14-100562

A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1164714929

Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active August 24, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location August 24, 2022

Registered at 2101 E SANTA FE ST, OLATHE, KS 660621606 (Tel: 9137822323)

📍
Updated Business Mailing Address August 24, 2022

Registered at 1034 E COTTAGE CREEK CIR, GARDNER, KS 660308406

👤
Provider Name / Credentials Updated August 24, 2022

Recorded as KHANTHALY PHOMMATA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2022

Pharmacy Technician (License #14-100562 in KS)

🟢
Initial NPI Registration & Enumeration August 24, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1225757065
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 24, 2022
Last Update: August 24, 2022
Sole Proprietor: No
Update or Correct Profile

Mailing Address

1034 E Cottage Creek Cir

Gardner, KS 660308406

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.