Active NPI
Kelly Marx, PHARMD
- Pharmacist
- Leawood, KS
National Provider Identifier
1467056960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-17011
- Practice address
- 11729 Roe Ave
Leawood, KS 66211-2605 - Phone
- (913) 345-8404
- NPI assigned
- Nov 24, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-17011 | KS | Primary |
Addresses
Primary practice location
11729 Roe Ave
Leawood, KS 66211-2605
Mailing address
11729 Roe Ave
Leawood, KS 66211-2605
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rx08588@cvshealth.com |
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 |
|---|---|---|---|
| 1-17011 | KS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606176000000",
"number": "1467056960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11729 ROE AVE",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662112605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11729 ROE AVE",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662112605",
"telephone_number": "913-345-8404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARX",
"first_name": "KELLY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-24",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-17011",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rx08588@cvshealth.com",
"affiliation": "N",
"address_1": "11729 Roe Ave",
"city": "Leawood",
"state": "KS",
"country_code": "US",
"postal_code": "662112605",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Leawood, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.