Active NPI
Kristin Shelbie Callaway, PHARMD
- Oncology Pharmacist
- Saint Charles, MO
National Provider Identifier
1083240857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Pharmacist
- License
- 2016023605
- Practice address
- 1475 Kisker Rd Ste 180
Saint Charles, MO 63304-8786 - Phone
- (636) 442-7300
- Fax
- (636) 442-7398
- NPI assigned
- Mar 12, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Pharmacist | 1835X0200X | 2016023605 | MO | Primary |
Addresses
Primary practice location
1475 Kisker Rd Ste 180
Saint Charles, MO 63304-8786
Mailing address
1475 Kisker Rd Ste 180
Saint Charles, MO 63304-8786
Phone (636) 442-7300
Other names 1
- Kristin Shelbie Manns
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2016023605 | MO | MD | Oncology Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583971200000",
"number": "1083240857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1475 KISKER RD STE 180",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633048786",
"telephone_number": "636-442-7300",
"fax_number": "636-442-7398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 KISKER RD STE 180",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633048786",
"telephone_number": "636-442-7300",
"fax_number": "636-442-7398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAWAY",
"first_name": "KRISTIN",
"middle_name": "SHELBIE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-12",
"last_updated": "2020-03-12",
"certification_date": "2020-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "MO",
"license": "2016023605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "MANNS",
"middle_name": "SHELBIE",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.