Craig Knoeber, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

2015023937 Issued in MO

Practice address

7107 N Oak Trfy
Gladstone, MO 64118-2514

Phone

(816) 436-3200

NPI assigned

Nov 30, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Missouri CVS Pharmacy LLC

  • Pharmacy
  • Saint Louis, MO
  • NPI 1073361952
  NPD (past)
• Missouri CVS Pharmacy, L.L.C.

  • Pharmacy
  • Gladstone, MO
  • NPI 1124127436
  NPD (past)

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1104421163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7107 N OAK TRFY",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641182514",
            "telephone_number": "816-436-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7107 N OAK TRFY",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641182514",
            "telephone_number": "816-436-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOEBER",
        "first_name": "CRAIG",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2015023937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MISSOURI PHARMACIST LICENSE NUMBER",
            "identifier": "2015023937",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanairi Kennedy
• Kyle Coleman Kepler, DDS
• Haroon Khalid, M.D.
• Jennifer R King, MA CCC A
• Kayla Klein
• Everett E Koehn, DO
• Thomas Joseph Kozicki X, D.D.S.
• Molly Kunzler, ARNP
• Kyle Kepler, DDS, LLC
• Anna Lake, PHARMD

• All providers in Gladstone, MO
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.