Active NPI
Kreisler Clnic Pharmacy
- Clinic Pharmacy
- Clinton, MO
National Provider Identifier
1154427516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic Pharmacy
- License
- 5423
- Legal business name
- KREISLER CLNIC PHARMACY
- Practice address
- 1602 N. Second St.
Clinton, MO 64735 - Phone
- (660) 885-4646
- NPI assigned
- Sep 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary D. Kline-Radford, RPH
- Title
- Pharmacist in Charge
- Phone
- (660) 885-4646
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | 5423 | MO | Primary |
Addresses
Primary practice location
1602 N. Second St.
Clinton, MO 64735
Mailing address
PO Box 528
Clinton, MO 64735
Phone (660) 885-4646
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1154427516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 528",
"city": "CLINTON",
"state": "MO",
"postal_code": "64735",
"telephone_number": "660-885-4646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 N. SECOND ST.",
"city": "CLINTON",
"state": "MO",
"postal_code": "64735",
"telephone_number": "660-885-4646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KREISLER CLNIC PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KLINE-RADFORD",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "660-885-4646",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": "MO",
"license": "5423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.