Healthcare Provider Details

I. General information

NPI: 1316867708
Provider Name (Legal Business Name): MICHAEL JAMES LINEKER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23501 W 84TH ST
SHAWNEE KS
66227-3296
US

IV. Provider business mailing address

23501 W 84TH ST
SHAWNEE KS
66227-3296
US

V. Phone/Fax

Practice location:
  • Phone: 913-727-4820
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: