Active NPI
Maria Crouse Trout
- Pharmacist
- Liberty, MO
National Provider Identifier
1548862857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 043834
- Practice address
- 109 N Blue Jay Dr
Liberty, MO 64068-1906 - Phone
- (816) 682-5331
- Fax
- (816) 792-1429
- NPI assigned
- Nov 11, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 043834 | MO | Primary |
Addresses
Primary practice location
109 N Blue Jay Dr
Liberty, MO 64068-1906
Mailing address
109 N Blue Jay Dr
Liberty, MO 64068-1906
Phone (816) 682-5331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S011300012 | Other | MO | MO DRIVERS LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043834 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605052800000",
"number": "1548862857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 N BLUE JAY DR",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640681906",
"telephone_number": "816-682-5331",
"fax_number": "816-792-1429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 N BLUE JAY DR",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640681906",
"telephone_number": "816-682-5331",
"fax_number": "816-792-1429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROUT",
"first_name": "MARIA",
"middle_name": "CROUSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-11",
"last_updated": "2020-11-11",
"certification_date": "2020-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "043834",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MO DRIVERS LICENSE",
"identifier": "S011300012",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Liberty, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.