Individual provider Active NPI

Kimberly Ekern, RPH

  • Pharmacist
  • Columbia, MO
National Provider Identifier
1205613387
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
044920 Issued in MO
Practice address
1601 Old 63 S
Columbia, MO 65201-8412
Phone
(573) 884-2653
Fax
(573) 884-9434
NPI assigned
Sep 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 044920 MO Primary

Addresses

Primary practice location

1601 Old 63 S
Columbia, MO 65201-8412

Mailing address

13254 Audrain Road 913
Mexico, MO 65265-6550
Phone (573) 721-3300

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
044920MOMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Curators of the University of Missouri CurrentSince Sep 17, 2023 Accepting new patients
Curators of the University of Missouri PastSince Sep 17, 2023 Accepting new patients

Locations

1601 Old 63 S
Columbia, MO 65201
Phone (573) 882-7850

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1205613387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13254 AUDRAIN ROAD 913",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652656550",
            "telephone_number": "573-721-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 OLD 63 S",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018412",
            "telephone_number": "573-884-2653",
            "fax_number": "573-884-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKERN",
        "first_name": "KIMBERLY",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "044920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.