Active NPI
Mary Kathryn Eckstaine, PHARMD
- Pharmacist
- Kansas City, MO
National Provider Identifier
1528777273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-101003
- Practice address
- 2316 E Meyer Blvd
Kansas City, MO 64132-1199 - Phone
- (816) 276-4000
- NPI assigned
- Nov 22, 2022
- Last updated
- Nov 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1-101003 | KS | MD | Pharmacist |
| 2021015385 | MO | MD | Pharmacist |
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.