Individual provider Active NPI

Corey M Pontier, PHARM.D.

  • Pharmacist
  • Kansas City, MO
National Provider Identifier
1922431584
Registry record updated Aug 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2013028387 Issued in MO
Practice address
4201 Holmes St
Apt 3
Kansas City, MO 64110-1139
Phone
(304) 544-5238
NPI assigned
Aug 17, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2013028387 MO Primary

Addresses

Primary practice location

4201 Holmes St
Apt 3
Kansas City, MO 64110-1139

Mailing address

4201 Holmes St
Apt 3
Kansas City, MO 64110-1139
Phone (304) 544-5238

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
2013028387MOMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1376697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376697600000",
    "number": "1922431584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 HOLMES ST",
            "address_2": "APT 3",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641101139",
            "telephone_number": "304-544-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 HOLMES ST",
            "address_2": "APT 3",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641101139",
            "telephone_number": "304-544-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONTIER",
        "first_name": "COREY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-17",
        "last_updated": "2013-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2013028387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.

Verify at the official NPI Registry.