Michael Andrew Gardiner, R.PH.

Primary specialty

Geriatric PharmacistTaxonomy code 1835G0303X

License

042256 Issued in MO

Practice address

348 NW Capital Dr
Lees Summit, MO 64086-4723

Phone

(816) 600-2200

Fax

(816) 897-0284

NPI assigned

Feb 4, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Symbria RX Services Great Plains, LLC

  • Long Term Care Pharmacy
  • Lees Summit, MO
  • NPI 1093172991
  NPD (past)

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1598357204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 NW CAPITAL DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864723",
            "telephone_number": "816-510-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 NW CAPITAL DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864723",
            "telephone_number": "816-600-2200",
            "fax_number": "816-897-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDINER",
        "first_name": "MICHAEL",
        "middle_name": "ANDREW",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "MO",
            "license": "042256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pranathi Gannavaram
• Srilatha Konduri Gannavaram, MBBS
• Emma Garcia, COTA/L
• Mauricio Garcia, MD
• Nieves Azeneth Garcia
• April Scruggs Gardner, FNP, PMH-CNS
• Judy K. Gardner, MS, LPC, NCC
• Meredith Gardner, PLPC
• Susan Marie Gardner, FNP
• Gargano Dental Enterprise LLC

• Geriatric Pharmacist in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Geriatric Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.