Individual provider Active NPI

Mary Kathryn Eckstaine, PHARMD

  • Pharmacist
  • Kansas City, MO
National Provider Identifier
1528777273
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1-101003 Issued in KS
Practice address
2316 E Meyer Blvd
Kansas City, MO 64132-1199
Phone
(816) 276-4000
NPI assigned
Nov 22, 2022
Last updated
Nov 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2021015385 MO
Pharmacist 183500000X 1-101003 KS Primary

Addresses

Primary practice location

2316 E Meyer Blvd
Kansas City, MO 64132-1199

Mailing address

16013 W 80TH St
Lenexa, KS 66219-2027
Phone (712) 541-3193

Other practice location 1

9350 Marshall Dr
Lenexa, KS 66215-3845
Phone (913) 227-3703

Other practice location 2

18351 W 119th St
Olathe, KS 66061-8005
Phone (913) 397-7325

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

LicenseStateTypeSpecialty
1-101003KSMDPharmacist
2021015385MOMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1528777273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16013 W 80TH ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662192027",
            "telephone_number": "712-541-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 E MEYER BLVD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641321199",
            "telephone_number": "816-276-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9350 Marshall Dr",
            "address_purpose": "LOCATION",
            "city": "Lenexa",
            "state": "KS",
            "postal_code": "662153845",
            "country_code": "US",
            "telephone_number": "913-227-3703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18351 W 119th St",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660618005",
            "country_code": "US",
            "telephone_number": "913-397-7325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ECKSTAINE",
        "first_name": "MARY",
        "middle_name": "KATHRYN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2021015385",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-101003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.