Kevin John Dudenhoeffer, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

2009020969 Issued in MO

Practice address

900 Eastland Dr
Jefferson City, MO 65101-3894

Phone

(573) 556-5615

Fax

(573) 556-8749

NPI assigned

Sep 26, 2011

Last updated

Sep 26, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1437432473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 SUMMER TREE PL",
            "city": "HOLTS SUMMIT",
            "state": "MO",
            "postal_code": "650431746",
            "telephone_number": "573-291-9891",
            "fax_number": "573-556-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 EASTLAND DR",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651013894",
            "telephone_number": "573-556-5615",
            "fax_number": "573-556-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDENHOEFFER",
        "first_name": "KEVIN",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2009020969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Michelle Drake, RN
• Rhonda Alexander Driver, R.PH.
• Olivia Marie Droppa, PT, DPT
• Jamie L Drury, PTA
• Fred I Dudenhoeffer, M.ED, LPC
• Michael Peter Dudenhoeffer, DO
• Payton Dudley Alese Dudley
• Shawn Byron Duffee, PH.D.
• William James Duke, DPM
• Joan E Dulle, RPT

• Pharmacist in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.