Individual provider Active NPI

Philip John Spitznagle, RPH

  • Pharmacist
  • Lee's Summit, MO
National Provider Identifier
1407925423
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
042838 Issued in MO
Practice address
937 NE Woods Chapel Rd
Price Chopper Pharmacy
Lee's Summit, MO 64064
Phone
(816) 246-7300
Fax
(816) 875-1015
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 042838 MO Primary

Addresses

Primary practice location

937 NE Woods Chapel Rd
Price Chopper Pharmacy
Lee's Summit, MO 64064

Mailing address

315 SE Crescent St
Lees Summit, MO 64063-3411
Phone (816) 246-7300

Other identifiers 1

IdentifierTypeStateIssuer
042838OtherMOSTATE PHARMACY LICENSE

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
042838MOMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cosentino Enterprises Inc Past Accepting new patients
Cosentino Enterprises Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407925423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 SE CRESCENT ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640633411",
            "telephone_number": "816-246-7300",
            "fax_number": "816-875-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 NE WOODS CHAPEL RD",
            "address_2": "PRICE CHOPPER PHARMACY",
            "city": "LEE'S SUMMIT",
            "state": "MO",
            "postal_code": "64064",
            "telephone_number": "816-246-7300",
            "fax_number": "816-875-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITZNAGLE",
        "first_name": "PHILIP",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "042838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LICENSE",
            "identifier": "042838",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lee's Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.