Kevin Michael Appelbaum, PHARMD
Individual provider Active NPI Pharmacist · Springfield, MO
NPI 1861891707 · NPPES record last updated Aug 15, 2014
Key facts
- NPI
- 1861891707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2014026368 (MO)
- Practice address
- 4355 S National Ave
Apartment 2704
Springfield, MO 65810-2687 - Phone
- (314) 740-3128
- NPI assigned
- Aug 15, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014026368 | MO | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2014026368 | MO | Yes |
Addresses
Primary practice location
4355 S National Ave
Apartment 2704
Springfield, MO 65810-2687
Mailing address
2640 E Sunshine St
Springfield, MO 65804-2045
Phone (314) 740-3128
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.