Provider Demographics
NPI:1700481439
Name:LANGNER, JANIE DIANE C (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:JANIE
Middle Name:DIANE C
Last Name:LANGNER
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 1:2534 BENT OAK CT
Mailing Address - Street 2:
Mailing Address - City:PLATTE CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64079-7625
Mailing Address - Country:US
Mailing Address - Phone:816-521-8144
Mailing Address - Fax:
Practice Address - Street 1:5201 N BELT HWY STE H
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-1297
Practice Address - Country:US
Practice Address - Phone:816-671-0822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-01
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-112083183500000X
MO2020025341183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONE