Individual provider Active NPI

Mary D Morasch, R.PH

  • Pharmacist
  • Raymore, MO
National Provider Identifier
1417559352
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
040255 Issued in MO
Practice address
141 N Dean Ave
Raymore, MO 64083-8398
Phone
(816) 425-9373
NPI assigned
Nov 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 040255 MO Primary

Addresses

Primary practice location

141 N Dean Ave
Raymore, MO 64083-8398

Mailing address

2132 SW Cedar Hill LN
Lees Summit, MO 64081-2243
Phone (816) 572-3454

Other identifiers 3

IdentifierTypeStateIssuer
1-11449OtherKSKANSAS STATE LICENSE NUMBER
040255OtherMOMISSOURI STATE LICENSE NUMBER
040255OtherMOSTATE PHARMACIST LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Raymore
CONNECT URL Raymore

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
040255MOMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sams East Inc PastSince Nov 22, 2020 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": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1417559352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 SW CEDAR HILL LN",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812243",
            "telephone_number": "816-572-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 N DEAN AVE",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640838398",
            "telephone_number": "816-425-9373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORASCH",
        "first_name": "MARY",
        "middle_name": "D",
        "credential": "R.PH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "040255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS STATE LICENSE NUMBER",
            "identifier": "1-11449",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI STATE LICENSE NUMBER",
            "identifier": "040255",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACIST LICENSE",
            "identifier": "040255",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Raymore",
            "affiliation": "N",
            "endpointDescription": "mdmorasch.s08243.us@samsclub.com",
            "address_1": "141 N Dean Ave",
            "city": "Raymore",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640838398",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Raymore",
            "affiliation": "N",
            "endpointDescription": "mdmorasch.s08243.us@samsclub.com",
            "address_1": "141 N Dean Ave",
            "city": "Raymore",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640838398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raymore, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.