Provider Demographics
NPI:1720450422
Name:MCNIFF, SHEILA (PHARM D)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:MCNIFF
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 1:1725 EAST SANTA FE STREET
Mailing Address - Street 2:
Mailing Address - City:GARDNER
Mailing Address - State:KS
Mailing Address - Zip Code:66030
Mailing Address - Country:US
Mailing Address - Phone:913-884-8411
Mailing Address - Fax:913-884-7025
Practice Address - Street 1:1725 EAST SANTA FE STREET
Practice Address - Street 2:
Practice Address - City:GARDNER
Practice Address - State:KS
Practice Address - Zip Code:66030
Practice Address - Country:US
Practice Address - Phone:913-884-8411
Practice Address - Fax:913-884-7025
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-21
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-14542183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist