Sean Michael Crosetti, PHARMD
Individual provider Active NPI Pharmacist · Grain Valley, MO
NPI 1609470285 · NPPES record last updated Nov 24, 2020
Key facts
- NPI
- 1609470285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2015000846 (MO)
- Practice address
- 510 S Main St
Grain Valley, MO 64029-9701 - Phone
- (816) 847-6930
- Fax
- (816) 847-2682
- NPI assigned
- Nov 24, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015000846 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crosetti Health and Wellness Inc | Current |
Accepting new patients | |
| Crosetti Health and Wellness Inc | Current |
Accepting new patients |
Locations
510 S Main St
Grain Valley, MO 64029
Phone (816) 847-2682
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist |
183500000X | 2015000846 | MO | Yes |
Addresses
Primary practice location
510 S Main St
Grain Valley, MO 64029-9701
Mailing address
PO Box 2983
Grain Valley, MO 64029-2983
Phone (816) 847-6930
Other providers in Grain Valley, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.