Active NPI
Kristin Repp, PHARMD
- Pharmacist
- Overland Park, KS
National Provider Identifier
1134897416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-14479
- Practice address
- 4061 Indian Creek Pkwy
Overland Park, KS 66207-4030 - Phone
- (816) 502-0582
- NPI assigned
- Sep 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2009024675 | MO | |
| Pharmacist | 183500000X | 1-14479 | KS | Primary |
Addresses
Primary practice location
4061 Indian Creek Pkwy
Overland Park, KS 66207-4030
Mailing address
22434 W 61St St
Shawnee, KS 66226-3212
Phone (785) 331-8578
Other practice location 1
4321 Washington St Ste 3000
Kansas City, MO 64111-5928
Phone (816) 502-0582
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 |
|---|---|---|---|
| 1-14479 | KS | MD | Pharmacist |
| 2009024675 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1134897416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22434 W 61ST ST",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662263212",
"telephone_number": "785-331-8578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4061 INDIAN CREEK PKWY",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662074030",
"telephone_number": "816-502-0582"
}
],
"practiceLocations": [
{
"address_1": "4321 Washington St Ste 3000",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641115928",
"country_code": "US",
"telephone_number": "816-502-0582",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REPP",
"first_name": "KRISTIN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-01",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2009024675",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-14479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
- Fengzhen Ren, MD ACUPUNCTURIST
- Jinyu Ren, MD, ACUPUNCTURIST
- Jennifer Rendon
- Rujira Renick, FNP-C
- Renuva Health LLC (Renuva Back and Pain Center)
- Carly Reppert, TLMFT
- Reproductive Resource Center of Greater Kansas City, L.L.C.
- Res-Care Kansas, Inc. (All Ways Caring Home Care)
- Res-Care Kansas, Inc. (All Ways Caring Home Care)
- Research Psychiatric 1500 LLC (Mill Creek Outpatient Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.