Healthcare Provider Details

I. General information

NPI: 1811810237
Provider Name (Legal Business Name): CHRISTA JOY VANLANDINGHAM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 S STATE ST
NORTON KS
67654-2142
US

IV. Provider business mailing address

102 S STATE ST
NORTON KS
67654-2142
US

V. Phone/Fax

Practice location:
  • Phone: 785-877-2721
  • Fax:
Mailing address:
  • Phone: 785-877-2721
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number1-120352
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: