Active NPI
Ismar Karadzic, PHARMD
- Pharmacist
- Farmington, MO
National Provider Identifier
1912206087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2010026502
- Practice address
- 1010 W Columbia St
Farmington, MO 63640-2902 - Phone
- (573) 218-6754
- NPI assigned
- Mar 15, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2010026502 | MO | Primary |
Addresses
Primary practice location
1010 W Columbia St
Farmington, MO 63640-2902
Mailing address
1010 W Columbia St
Farmington, MO 63640-2902
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2010026502 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300147200000",
"number": "1912206087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 W COLUMBIA ST",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636402902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 W COLUMBIA ST",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636402902",
"telephone_number": "573-218-6754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARADZIC",
"first_name": "ISMAR",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-15",
"last_updated": "2011-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2010026502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.