Individual provider Active NPI

Romero Agustin Higareda, PHARMD

  • Pharmacist
  • Kansas City, MO
National Provider Identifier
1164278016
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2023031505 Issued in MO
Practice address
9909 N Maywood Ave
Kansas City, MO 64157-9668
Phone
(816) 269-3259
NPI assigned
Apr 30, 2024
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2023031505 MO Primary

Addresses

Primary practice location

9909 N Maywood Ave
Kansas City, MO 64157-9668

Mailing address

9909 N Maywood Ave
Kansas City, MO 64157-9668
Phone (816) 269-3259

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
2023031505MOMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1164278016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9909 N MAYWOOD AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641579668",
            "telephone_number": "816-269-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9909 N MAYWOOD AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641579668",
            "telephone_number": "816-269-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGAREDA",
        "first_name": "ROMERO",
        "middle_name": "AGUSTIN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2023031505",
            "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 Apr 30, 2024; 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.