Provider Demographics
NPI:1396411302
Name:DRAKEY, NAOMI TATEMATSU (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:NAOMI
Middle Name:TATEMATSU
Last Name:DRAKEY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15849 LINDEN ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66224-3953
Mailing Address - Country:US
Mailing Address - Phone:913-485-2671
Mailing Address - Fax:
Practice Address - Street 1:750 E MAIN STREET
Practice Address - Street 2:
Practice Address - City:GARDNER
Practice Address - State:KS
Practice Address - Zip Code:66030-1744
Practice Address - Country:US
Practice Address - Phone:913-884-7912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-19
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-110066183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist