Active NPI
Tricia Ast, PHARM.D
- Pharmacist
- Overland Park, KS
National Provider Identifier
1205325537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-14876
- Practice address
- 10303 Metcalf Ave
Overland Park, KS 66212-1805 - Phone
- (913) 642-3759
- NPI assigned
- May 2, 2018
- Last updated
- May 2, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-14876 | KS | Primary |
| Pharmacist | 183500000X | 21219 | IA |
Addresses
Primary practice location
10303 Metcalf Ave
Overland Park, KS 66212-1805
Mailing address
11452 S Northwood Cir
Olathe, KS 66061-6500
Phone (712) 540-5164
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-14876 | Other | KS | PHARMACIST LICENSE NUMBER |
| 21219 | Other | IA | PHARMACIST LICENSE NUMBER |
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 |
|---|---|---|---|
| 21219 | IA | MD | Pharmacist |
| 1-14876 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525219200000",
"number": "1205325537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11452 S NORTHWOOD CIR",
"city": "OLATHE",
"state": "KS",
"postal_code": "660616500",
"telephone_number": "712-540-5164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10303 METCALF AVE",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662121805",
"telephone_number": "913-642-3759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AST",
"first_name": "TRICIA",
"name_prefix": "Mrs.",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-02",
"last_updated": "2018-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-14876",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "21219",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE NUMBER",
"identifier": "1-14876",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE NUMBER",
"identifier": "21219",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.