Individual provider Active NPI

Shannon S Tefft, PHARM D

  • Pharmacist
  • Kansas City, MO
National Provider Identifier
1013201185
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2010033107 Issued in MO
Practice address
4375 N Chouteau Trfy
Kansas City, MO 64117-1743
Phone
(816) 452-8079
NPI assigned
Jun 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2010033107 MO Primary

Addresses

Primary practice location

4375 N Chouteau Trfy
Kansas City, MO 64117-1743

Mailing address

4375 N Chouteau Trfy
Kansas City, MO 64117-1743
Phone (816) 452-8079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
2010033107MOMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1013201185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4375 N CHOUTEAU TRFY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641171743",
            "telephone_number": "816-452-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 N CHOUTEAU TRFY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641171743",
            "telephone_number": "816-452-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEFFT",
        "first_name": "SHANNON",
        "middle_name": "S",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2010033107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.