Active NPI
Mukta Mahankali, PHARM.D.
- Pharmacist
- Kansas City, KS
National Provider Identifier
1194184986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-15312
- Practice address
- 4300 Brenner Dr
Suite 200
Kansas City, KS 66104-1163 - Phone
- (816) 249-2780
- NPI assigned
- Feb 22, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-15312 | KS | Primary |
Addresses
Primary practice location
4300 Brenner Dr
Suite 200
Kansas City, KS 66104-1163
Mailing address
4300 Brenner Dr
Suite 200
Kansas City, KS 66104-1163
Phone (816) 249-2780
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 |
|---|---|---|---|
| 1-15312 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prescription Management Associates | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Kansas City, KS
- NPI 1497125470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456099200000",
"number": "1194184986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 BRENNER DR",
"address_2": "SUITE 200",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661041163",
"telephone_number": "816-249-2780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 BRENNER DR",
"address_2": "SUITE 200",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661041163",
"telephone_number": "816-249-2780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHANKALI",
"first_name": "MUKTA",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-22",
"last_updated": "2016-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-15312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.