Individual provider Active NPI

Ann Karrenbrock, RPH

  • Pharmacist
  • Liberty, MO
National Provider Identifier
1053915256
Registry record updated Nov 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
042496 Issued in MO
Practice address
1901 W Kansas St
Liberty, MO 64068-2060
Phone
(816) 781-0035
Fax
(816) 781-4462
NPI assigned
Nov 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 042496 MO Primary

Addresses

Primary practice location

1901 W Kansas St
Liberty, MO 64068-2060

Mailing address

1901 W Kansas St
Liberty, MO 64068-2060
Phone (816) 781-0035

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL a.karrenbrock@cvshealth.com Direct

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
042496MOMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1606521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606521600000",
    "number": "1053915256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 W KANSAS ST",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640682060",
            "telephone_number": "816-781-0035",
            "fax_number": "816-781-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W KANSAS ST",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640682060",
            "telephone_number": "816-781-0035",
            "fax_number": "816-781-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARRENBROCK",
        "first_name": "ANN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-28",
        "last_updated": "2020-11-28",
        "certification_date": "2020-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "042496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "a.karrenbrock@cvshealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1901 W Kansas St",
            "city": "Liberty",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640682060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2020; 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.