Active NPI
Elizabeth Anne Craig, PHARMD
- Pharmacist
- Belton, MO
National Provider Identifier
1477333441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 043951
- Practice address
- 409 E North Ave
Belton, MO 64012-2016 - Phone
- (816) 331-9716
- NPI assigned
- Oct 5, 2023
- Last updated
- Oct 5, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-17151 | KS | |
| Pharmacist | 183500000X | 043951 | MO | Primary |
Addresses
Primary practice location
409 E North Ave
Belton, MO 64012-2016
Mailing address
409 E North Ave
Belton, MO 64012-2016
Phone (816) 331-9716
Other names 1
- Elizabeth Anne Kavanaugh
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 |
|---|---|---|---|
| 1-17151 | KS | MD | Pharmacist |
| 043951 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missouri CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Missouri CVS Pharmacy LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696464000000",
"number": "1477333441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 E NORTH AVE",
"city": "BELTON",
"state": "MO",
"postal_code": "640122016",
"telephone_number": "816-331-9716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 E NORTH AVE",
"city": "BELTON",
"state": "MO",
"postal_code": "640122016",
"telephone_number": "816-331-9716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIG",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-05",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-17151",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "043951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "KAVANAUGH",
"middle_name": "ANNE",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Belton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.