Individual provider Active NPI

Misty-Anne Rebecca Lee, PHARM.D.

  • Pharmacist
  • Kansas City, MO
National Provider Identifier
1144521220
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2007002493 Issued in MO
Practice address
650 Carondelet Dr
Kansas City, MO 64114-4672
Phone
(816) 941-2162
Fax
(816) 941-2635
NPI assigned
Nov 5, 2010
Last updated
Nov 5, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2007002493 MO Primary

Addresses

Primary practice location

650 Carondelet Dr
Kansas City, MO 64114-4672

Mailing address

920 SW Soldier CT
Lees Summit, MO 64082-4948
Phone (816) 941-2162

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
2007002493MOMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288915200000",
    "number": "1144521220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 SW SOLDIER CT",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824948",
            "telephone_number": "816-941-2162",
            "fax_number": "816-941-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 CARONDELET DR",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144672",
            "telephone_number": "816-941-2162",
            "fax_number": "816-941-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MISTY-ANNE",
        "middle_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-05",
        "last_updated": "2010-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2007002493",
            "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 Nov 5, 2010; 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.