Individual provider Active NPI

Kristin Brummel, PHARM.D.

  • Pharmacist
  • Lees Summit, MO
National Provider Identifier
1386042596
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2008027641 Issued in MO
Practice address
310 SW Ward Rd
Lees Summit, MO 64081-2445
Phone
(816) 554-2211
Fax
(816) 554-2086
NPI assigned
Dec 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1-14608 KS
Pharmacist 183500000X 2008027641 MO Primary

Addresses

Primary practice location

310 SW Ward Rd
Lees Summit, MO 64081-2445

Mailing address

310 SW Ward Rd
Lees Summit, MO 64081-2445
Phone (816) 554-2211

Other identifiers 2

IdentifierTypeStateIssuer
602569808MedicaidMO
100433420AMedicaidKS

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
1-14608KSMDPharmacist
2008027641MOMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hy-Vee Inc Past Accepting new patients

Organizations & group practices 1

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": "1419206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1386042596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 SW WARD RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812445",
            "telephone_number": "816-554-2211",
            "fax_number": "816-554-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 SW WARD RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812445",
            "telephone_number": "816-554-2211",
            "fax_number": "816-554-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMMEL",
        "first_name": "KRISTIN",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-22",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-14608",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2008027641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "602569808",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100433420A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.