Elizabeth Anne Craig, PHARMD
Individual provider Active NPI Pharmacist · Belton, MO
NPI 1477333441 · NPPES record last updated Oct 5, 2023
Key facts
- NPI
- 1477333441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 043951 (MO)
- Practice address
- 409 E North Ave
Belton, MO 64012-2016 - Phone
- (816) 331-9716
- NPI assigned
- Oct 5, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- 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 LLC | Past |
Accepting new patients | |
| Missouri CVS Pharmacy, L.L.C. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-17151 | KS | |
| Pharmacist | 183500000X | 043951 | MO | Yes |
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
- Elizabeth Anne Kavanaugh
Other providers in Belton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.