Calli Kempker
Individual provider Active NPI Pharmacist · Eldon, MO
NPI 1306627872 · NPPES record last updated Oct 11, 2023
Key facts
- NPI
- 1306627872
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2016021947 (MO)
- Practice address
- 1802 S Business 54
Eldon, MO 65026-1786 - Phone
- (573) 392-1863
- NPI assigned
- Oct 11, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016021947 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past |
Accepting new patients | |
| Wal-Mart Stores East, LP | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2016021947 | MO | Yes |
Addresses
Primary practice location
1802 S Business 54
Eldon, MO 65026-1786
Mailing address
1802 S Business 54
Eldon, MO 65026-1786
Phone (573) 392-1863
Other providers in Eldon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.