Active NPI
Kylie Elliott, PHARM D.
- Pharmacist
- Kirkwood, MO
National Provider Identifier
1588004568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2013022763
- Practice address
- 1042 S Kirkwood Rd
Kirkwood, MO 63122-7200 - Phone
- (314) 822-4865
- NPI assigned
- Jul 5, 2013
- Last updated
- Jul 5, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2013022763 | MO | Primary |
Addresses
Primary practice location
1042 S Kirkwood Rd
Kirkwood, MO 63122-7200
Mailing address
1122 Sidney St FL 1
Saint Louis, MO 63104-4311
Phone (847) 878-3027
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 |
|---|---|---|---|
| 2013022763 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372982400000",
"number": "1588004568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 SIDNEY ST FL 1",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631044311",
"telephone_number": "847-878-3027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1042 S KIRKWOOD RD",
"city": "KIRKWOOD",
"state": "MO",
"postal_code": "631227200",
"telephone_number": "314-822-4865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "KYLIE",
"credential": "PHARM D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-05",
"last_updated": "2013-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2013022763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kirkwood, MO
- Edward F. Tate D.D.S., P.C.
- Erica Diana Edwards, BSW
- Lisa Nicole Eilerts, LCSW, RPT, CATP, JD
- Elephant Rock Counseling, LLC
- Nicholas Ellefson, DPT
- Emily Barks DC, LLC
- Susan Amy Englund, PH D
- Michael Erlenbush
- Breanne Alexis Eversgerd, RBT
- Eye Care Vision Center II Inc Erkers Kirkwood (Erkers Kirkwood)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.