Active NPI
Skyler Marie Gray
- Pharmacy Technician
- Kansas City, MO
National Provider Identifier
1316528268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 2021035710
- Practice address
- 3537 Broadway Blvd
Kansas City, MO 64111-2501 - Phone
- (816) 561-1933
- Fax
- (816) 753-5938
- NPI assigned
- Apr 20, 2021
- Last updated
- Feb 23, 2023
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 14-110236 | KS | |
| Pharmacy Technician | 183700000X | 2021035710 | MO | Primary |
Addresses
Primary practice location
3537 Broadway Blvd
Kansas City, MO 64111-2501
Mailing address
3537 Broadway Blvd
Kansas City, MO 64111-2501
Phone (816) 561-1933
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14-110236 | KS | MD | Pharmacy Technician |
| 2021035710 | MO | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
3537 Broadway Blvd
Kansas City, MO 64111
Phone (816) 561-1922
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, 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": "1618876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677110400000",
"number": "1316528268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3537 BROADWAY BLVD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641112501",
"telephone_number": "816-561-1933",
"fax_number": "816-753-5938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3537 BROADWAY BLVD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641112501",
"telephone_number": "816-561-1933",
"fax_number": "816-753-5938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "SKYLER",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-20",
"last_updated": "2023-02-23",
"certification_date": "2023-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "KS",
"license": "14-110236",
"primary": false
},
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "MO",
"license": "2021035710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.