Active NPI
Kyle Jesse York, PHARM. D.
- Pharmacist
- Richland, MO
National Provider Identifier
1922061001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 200172890
- Practice address
- 104 McClurg St
Richland, MO 65556-9998 - Phone
- (573) 765-3321
- NPI assigned
- Apr 10, 2006
- Last updated
- Jun 14, 2013
- 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 | 200172890 | MO | Primary |
Addresses
Primary practice location
104 McClurg St
Richland, MO 65556-9998
Mailing address
4210 State Road T
Stoutland, MO 65567-9188
Phone (417) 286-4516
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 |
|---|---|---|---|
| 200172890 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jonk LLC | Current | Accepting new patients | |
| Jonk LLC | Current | Accepting new patients |
Locations
104 E McClurg Ave
Richland, MO 65556
Phone (573) 765-3321
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371168000000",
"number": "1922061001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4210 STATE ROAD T",
"city": "STOUTLAND",
"state": "MO",
"postal_code": "655679188",
"telephone_number": "417-286-4516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 MCCLURG ST",
"city": "RICHLAND",
"state": "MO",
"postal_code": "655569998",
"telephone_number": "573-765-3321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YORK",
"first_name": "KYLE",
"middle_name": "JESSE",
"name_prefix": "Dr.",
"credential": "PHARM. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2013-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "200172890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richland, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.