Mikayla Mai Antonson, PHARMD
Individual provider Active NPI Pharmacist · Kansas City, KS
NPI 1285541227 · NPPES record last updated Aug 25, 2026
Key facts
- NPI
- 1285541227
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 1-128126 (KS)
- Practice address
- 4000 Cambridge St
Kansas City, KS 66160-8501 - Phone
- (913) 588-1227
- NPI assigned
- Aug 25, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-128126 | KS | Yes |
Addresses
Primary practice location
4000 Cambridge St
Kansas City, KS 66160-8501
Mailing address
383 Thomas Dr
Idaho Falls, ID 83402-5673
Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.