Active NPI
Alexis Cornelio, PHARMD
- Pharmacist
- Kansas City, MO
National Provider Identifier
1396352753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2020026741
- Practice address
- 425 Washington St Apt 409
Kansas City, MO 64105-1115 - Phone
- (224) 430-2438
- NPI assigned
- Sep 29, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 51303152 | IL | |
| Pharmacist | 183500000X | 60969465 | WA | |
| Pharmacist | 183500000X | 2020026741 | MO | Primary |
Addresses
Primary practice location
425 Washington St Apt 409
Kansas City, MO 64105-1115
Mailing address
425 Washington St Apt 409
Kansas City, MO 64105-1115
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
| License | State | Type | Specialty |
|---|---|---|---|
| 51303152 | IL | MD | Pharmacist |
| 2020026741 | MO | MD | Pharmacist |
| 60969465 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601337600000",
"number": "1396352753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 WASHINGTON ST APT 409",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641051115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 WASHINGTON ST APT 409",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641051115",
"telephone_number": "224-430-2438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNELIO",
"first_name": "ALEXIS",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-29",
"last_updated": "2020-09-29",
"certification_date": "2020-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "51303152",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "60969465",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2020026741",
"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 Sep 29, 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.