Active NPI
Charles David Kerr, RPH
- Pharmacist
- Springfield, MO
National Provider Identifier
1740596840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 043743
- Practice address
- 2650 W Kearney St
Springfield, MO 65803-2037 - Phone
- (417) 865-1547
- NPI assigned
- Aug 26, 2010
- Last updated
- Aug 26, 2010
- 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 | 043743 | MO | Primary |
Addresses
Primary practice location
2650 W Kearney St
Springfield, MO 65803-2037
Mailing address
2586 W Cynthia St
Springfield, MO 65810-1311
Phone (417) 343-0635
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2003031778 | Other | MO | PHARMACY PERMIT |
| 606075505 | Medicaid | MO |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Food Merchants LLC | Past | Accepting new patients | |
| Food Merchants LLC | Past | Accepting new patients |
Organizations & group practices 3
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 dba DOWNTOWN PHARMACY
- Community/Retail Pharmacy
- Springfield, MO
- NPI 1588042816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282780800000",
"number": "1740596840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2586 W CYNTHIA ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658101311",
"telephone_number": "417-343-0635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 W KEARNEY ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658032037",
"telephone_number": "417-865-1547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERR",
"first_name": "CHARLES",
"middle_name": "DAVID",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-26",
"last_updated": "2010-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "043743",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY PERMIT",
"identifier": "2003031778",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "606075505",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.