Provider Demographics
NPI:1952670648
Name:VANDERPOOL, NANCY HOFFMAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:HOFFMAN
Last Name:VANDERPOOL
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 1:17617 W 84TH TER
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66219-8042
Mailing Address - Country:US
Mailing Address - Phone:913-859-9157
Mailing Address - Fax:
Practice Address - Street 1:17617 W 84TH TER
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66219-8042
Practice Address - Country:US
Practice Address - Phone:913-859-9157
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-24
Last Update Date:2011-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-13470183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist