Individual provider Active NPI

Elizabeth Anne Carmosino, PHARMD

  • Pharmacist
  • Olathe, KS
National Provider Identifier
1255940409
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
102245 Issued in KS
Practice address
13600 S Blackbob Rd
Olathe, KS 66062-1934
Phone
(913) 782-2039
NPI assigned
Jul 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 102245 KS Primary

Addresses

Primary practice location

13600 S Blackbob Rd
Olathe, KS 66062-1934

Mailing address

1208 W 70TH Ter
Kansas City, MO 64113-2045
Phone (913) 617-4754

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
102245KSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Four B Corp PastSince Aug 2, 2020 Accepting new patients
Four B Corp PastSince Aug 2, 2020 Accepting new patients

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": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1255940409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 W 70TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641132045",
            "telephone_number": "913-617-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13600 S BLACKBOB RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621934",
            "telephone_number": "913-782-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMOSINO",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "102245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.