Active NPI
Kerri Manson
- Pharmacist
- Moberly, MO
National Provider Identifier
1780060855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2015020497
- Practice address
- 530 E Highway 24
Moberly, MO 65270-3622 - Phone
- (816) 284-2745
- NPI assigned
- Jul 30, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 2015020497 | MO | Primary |
Addresses
Primary practice location
530 E Highway 24
Moberly, MO 65270-3622
Mailing address
1409 N Jefferson St
Carrollton, MO 64633-1945
Phone (660) 542-2020
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2015020497 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Platz Enterprises Inc. | Past | Accepting new patients | |
| Platz Enterprises Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Carrollton, MO
- NPI 1275627127
-
- Long Term Care Pharmacy
- Carrollton, MO
- NPI 1396198818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1780060855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1409 N JEFFERSON ST",
"city": "CARROLLTON",
"state": "MO",
"postal_code": "646331945",
"telephone_number": "660-542-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 E HIGHWAY 24",
"city": "MOBERLY",
"state": "MO",
"postal_code": "652703622",
"telephone_number": "816-284-2745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANSON",
"first_name": "KERRI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-30",
"last_updated": "2020-11-06",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2015020497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moberly, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.