Individual provider Active NPI

Kevin L Kriley, RPH

  • Pharmacy
  • Smith Center, KS
National Provider Identifier
1508919515
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
208877 Issued in KS
Practice address
125 S Main St
Smith Center, KS 66967-2605
Phone
(785) 282-6843
Fax
(785) 282-6844
NPI assigned
Jan 21, 2007
Last updated
Jul 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 208877 KS Primary
Pharmacist 183500000X 11052 KS
Pharmacist 183500000X 29239 TX

Addresses

Primary practice location

125 S Main St
Smith Center, KS 66967-2605

Mailing address

125 S Main St
Smith Center, KS 66967-2605
Phone (785) 282-6843

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
11052KSMDPharmacist
29239TXMDPharmacist
208877KSMDPharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin L Kriley Current Accepting new patients

Locations

125 S Main St
Smith Center, KS 66967
Phone (785) 282-3311

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, 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": "1169337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1508919515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S MAIN ST",
            "city": "SMITH CENTER",
            "state": "KS",
            "postal_code": "669672605",
            "telephone_number": "785-282-6843",
            "fax_number": "785-282-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S MAIN ST",
            "city": "SMITH CENTER",
            "state": "KS",
            "postal_code": "669672605",
            "telephone_number": "785-282-6843",
            "fax_number": "785-282-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRILEY",
        "first_name": "KEVIN",
        "middle_name": "L",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-21",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KS",
            "license": "208877",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "11052",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "29239",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smith Center, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.