Individual provider Active NPI

Riley Marie Krus

  • Pharmacist
  • Maplewood, MO
National Provider Identifier
1629679204
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2015029223 Issued in MO
Practice address
1900 Maplewood Commons Dr
Maplewood, MO 63143-1005
Phone
(314) 781-2935
Fax
(314) 781-3254
NPI assigned
Nov 2, 2020
Last updated
Nov 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2015029223 MO Primary

Addresses

Primary practice location

1900 Maplewood Commons Dr
Maplewood, MO 63143-1005

Mailing address

9541 Lodge Pole LN
Saint Louis, MO 63126-2123
Phone (314) 605-8416

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

State licenses

LicenseStateTypeSpecialty
2015029223MOMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1629679204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9541 LODGE POLE LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631262123",
            "telephone_number": "314-605-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MAPLEWOOD COMMONS DR",
            "city": "MAPLEWOOD",
            "state": "MO",
            "postal_code": "631431005",
            "telephone_number": "314-781-2935",
            "fax_number": "314-781-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUS",
        "first_name": "RILEY",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2015029223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.