=====================================================
General NPI Number Information
=====================================================
NPI Number | 1568357622
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | TROY STRAIN PHARM D
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/10/2025
-----------------------------------------------------
Last Update Date | 06/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3920 10TH ST
-----------------------------------------------------
City | GREAT BEND
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 67530-3551
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 620-792-4467
-----------------------------------------------------
Fax | 620-792-4912
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 150 SW 40 AVE APT A
-----------------------------------------------------
City | GREAT BEND
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 67530-9737
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 620-617-9673
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 1-12772
-----------------------------------------------------
License Number State | KS
-----------------------------------------------------