Individual provider Active NPI

Sasha T Kramer, PHARMD

  • Pharmacist
  • Forsyth, MO
National Provider Identifier
1619726189
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2009025380 Issued in MO
Practice address
16269 US Highway 160
Forsyth, MO 65653-7122
Phone
(417) 546-5151
Fax
(417) 546-4591
NPI assigned
May 16, 2024
Last updated
May 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2009025380 MO Primary

Addresses

Primary practice location

16269 US Highway 160
Forsyth, MO 65653-7122

Mailing address

18565 Business 13
Branson West, MO 65737-9659
Phone (417) 272-8064

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

LicenseStateTypeSpecialty
2009025380MOMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mike Stuart Enterprises, Inc. CurrentSince May 19, 2024 Accepting new patients
Forsyth Pharmacy, Inc. PastSince May 19, 2024 Accepting new patients

Locations

16269 US Highway 160
Forsyth, MO 65653
Phone (417) 546-5151

18565 Business 13
Reeds Spring, MO 65737
Phone (417) 272-8064

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1619726189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18565 BUSINESS 13",
            "city": "BRANSON WEST",
            "state": "MO",
            "postal_code": "657379659",
            "telephone_number": "417-272-8064",
            "fax_number": "417-272-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16269 US HIGHWAY 160",
            "city": "FORSYTH",
            "state": "MO",
            "postal_code": "656537122",
            "telephone_number": "417-546-5151",
            "fax_number": "417-546-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "SASHA",
        "middle_name": "T",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2009025380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forsyth, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.