Provider Demographics
NPI:1417553041
Name:ZHUANG, SHUFEI
Entity Type:Individual
Prefix:
First Name:SHUFEI
Middle Name:
Last Name:ZHUANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10050 WOODLAND DR
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66220-3802
Mailing Address - Country:US
Mailing Address - Phone:913-397-0906
Mailing Address - Fax:
Practice Address - Street 1:10050 WOODLAND DR
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66220-3802
Practice Address - Country:US
Practice Address - Phone:913-397-0906
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-09
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017014593183500000X
KS1-101870183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist