Active NPI
Eric Everett, RPH
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Mission, KS
National Provider Identifier
1730448549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 1-10816
- Practice address
- 5453 W 61St PL
Mission, KS 66205-3002 - Phone
- (913) 322-0001
- Fax
- (913) 322-0002
- NPI assigned
- May 14, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 1-10816 | KS | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 41576 | MO | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | S018016 | AZ |
Addresses
Primary practice location
5453 W 61St PL
Mission, KS 66205-3002
Mailing address
5453 W 61St PL
Mission, KS 66205-3002
Phone (913) 322-0001
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S018016 | AZ | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 1-10816 | KS | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 41576 | MO | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
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.
-
dba O'Brien Infusion Services
- Compounding Pharmacy
- Mission, KS
- NPI 1871813592
-
- Compounding Pharmacy
- Mission, KS
- NPI 1114218906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336953600000",
"number": "1730448549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5453 W 61ST PL",
"city": "MISSION",
"state": "KS",
"postal_code": "662053002",
"telephone_number": "913-322-0001",
"fax_number": "913-322-0002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5453 W 61ST PL",
"city": "MISSION",
"state": "KS",
"postal_code": "662053002",
"telephone_number": "913-322-0001",
"fax_number": "913-322-0002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERETT",
"first_name": "ERIC",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-14",
"last_updated": "2012-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "KS",
"license": "1-10816",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MO",
"license": "41576",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "AZ",
"license": "S018016",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.