Provider Demographics
NPI:1902409949
Name:JAIMES-ALANIS, CLAUDIA IVETH (PHARMD)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:IVETH
Last Name:JAIMES-ALANIS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 MERCHANT ST
Mailing Address - Street 2:
Mailing Address - City:EMPORIA
Mailing Address - State:KS
Mailing Address - Zip Code:66801-5002
Mailing Address - Country:US
Mailing Address - Phone:620-340-0121
Mailing Address - Fax:
Practice Address - Street 1:1215 MERCHANT ST
Practice Address - Street 2:
Practice Address - City:EMPORIA
Practice Address - State:KS
Practice Address - Zip Code:66801-5002
Practice Address - Country:US
Practice Address - Phone:620-340-0121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017025948183500000X
KS1102969183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2017025948OtherMISSOURI BOARD OF PHARMACY
KS1102969OtherKANSAS BOARD OF PHARMACY