Individual provider Active NPI

Hadei Madison Witthar, PHARMD

  • Pharmacist
  • Grandview, MO
National Provider Identifier
1891464939
Registry record updated Sep 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2021031389 Issued in MO
Practice address
13000 S US Highway 71
Grandview, MO 64030-2515
Phone
(816) 769-5949
NPI assigned
Sep 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2021031389 MO Primary

Addresses

Primary practice location

13000 S US Highway 71
Grandview, MO 64030-2515

Mailing address

920 Main St Unit 1801
Kansas City, MO 64105-2479
Phone (816) 876-7209

Other identifiers 1

IdentifierTypeStateIssuer
2021031389OtherMOMISSOURI BOARD OF PHARMACY

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

LicenseStateTypeSpecialty
2021031389MOMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631318400000",
    "number": "1891464939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 MAIN ST UNIT 1801",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641052479",
            "telephone_number": "816-876-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 S US HIGHWAY 71",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640302515",
            "telephone_number": "816-769-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTHAR",
        "first_name": "HADEI",
        "middle_name": "MADISON",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-11",
        "last_updated": "2021-09-11",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2021031389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI BOARD OF PHARMACY",
            "identifier": "2021031389",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grandview, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.