Kristin Marx, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

2016028555 Issued in MO

Practice address

751 NE Woods Chapel Rd
Lees Summit, MO 64064-1993

Phone

(816) 524-8840

NPI assigned

Dec 1, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kristin Cera Former name

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 LLC

  • Pharmacy
  • Lees Summit, MO
  • NPI 1629019526
  NPD (past)

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1154926830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 NE WOODS CHAPEL RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 NE WOODS CHAPEL RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641993",
            "telephone_number": "816-524-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARX",
        "first_name": "KRISTIN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2016028555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "CERA",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark W Martin, MD
• Michelle Martin, PLPC
• Natalie Martin, MS, RD, LD
• Sarah Martin, M.S. CCC-SLP
• Heather Marie Maruska, PHARMD
• Amy Jo Masiongale, CRNA
• Stacey Mason, LPC
• Zachary Todd Masterson
• Tori Mathews, PA-C
• Paul Thomas Matlock, D.D.S.

• Pharmacist in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.