Active NPI
Timothy Daniel Kerr, PHARM.D.
- Pharmacist
- Maize, KS
National Provider Identifier
1639511702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-14211
- Practice address
- 3857 N Watercress CT
Maize, KS 67101-3739 - Phone
- (316) 993-9397
- Fax
- (316) 239-6057
- NPI assigned
- Jul 18, 2013
- Last updated
- Jul 18, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-14211 | KS | Primary |
Addresses
Primary practice location
3857 N Watercress CT
Maize, KS 67101-3739
Mailing address
3857 N Watercress CT
Maize, KS 67101-3739
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1-14211 | KS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374105600000",
"number": "1639511702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3857 N WATERCRESS CT",
"city": "MAIZE",
"state": "KS",
"postal_code": "671013739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3857 N WATERCRESS CT",
"city": "MAIZE",
"state": "KS",
"postal_code": "671013739",
"telephone_number": "316-993-9397",
"fax_number": "316-239-6057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERR",
"first_name": "TIMOTHY",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-18",
"last_updated": "2013-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-14211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maize, KS
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- Maize Usd 266
- Matthew R. Healy D.D.S., P.a. (Tiny Teeth Pediatric Dentistry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.