Kelly Aubuschon, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

2018021533 Issued in MO

Practice address

104 Cortney LN
Crane, MO 65633-9192

Phone

(417) 723-5227

NPI assigned

Nov 30, 2020

Last updated

Jun 29, 2022By the provider in NPPES

Sex

Female

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

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1598360513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CORTNEY LN",
            "city": "CRANE",
            "state": "MO",
            "postal_code": "656339192",
            "telephone_number": "417-723-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CORTNEY LN",
            "city": "CRANE",
            "state": "MO",
            "postal_code": "656339192",
            "telephone_number": "417-723-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUBUSCHON",
        "first_name": "KELLY",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2018021533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith C Adams, MS, LPC, NCC
• Stacey Rachelle Adams II, COTA
• Jane M. Balek, COTA/L
• Darlene Benton, PTA
• Angela Dawn Boyd, PTA
• Tammy Jo Brazeal, PH.D.
• John Edgar Burnett Jr., M.P.T.

• Pharmacist in Crane, MO
• Providers in Crane, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.