NPIMap

Individual provider Active NPI

Christian S Tadrus, PHARM.D.

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Moberly, MO
National Provider Identifier
1932241536
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
44591 Issued in MO
Practice address
530 E. 24 Highway
(26-39586)
Moberly, MO 65270
Phone
(660) 263-6710
Fax
(660) 263-2269
NPI assigned
Feb 12, 2007
Last updated
Apr 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 44591 MO
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 44591 MO Primary

Addresses

Primary practice location

530 E. 24 Highway
(26-39586)
Moberly, MO 65270

Mailing address

PO Box 957
Moberly, MO 65270-0957
Phone (660) 263-0909

Other practice location 1

300 N. Church Street
(26-21907)
Fayette, MO 65248
Phone (660) 248-2275

Other practice location 2

300 N Morley St
(26-08872)
Moberly, MO 65270-2334
Phone (660) 263-0909

Other identifiers 1

IdentifierTypeStateIssuer
359147618MedicaidMO

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
44591MOMDPharmacist

Organizations & group practices 4

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1932241536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 957",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652700957",
            "telephone_number": "660-263-0909",
            "fax_number": "660-263-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 E. 24 HIGHWAY",
            "address_2": "(26-39586)",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "65270",
            "telephone_number": "660-263-6710",
            "fax_number": "660-263-2269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 N. Church Street",
            "address_2": "(26-21907)",
            "address_purpose": "LOCATION",
            "city": "Fayette",
            "state": "MO",
            "postal_code": "65248",
            "country_code": "US",
            "telephone_number": "660-248-2275",
            "fax_number": "660-248-2858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 N Morley St",
            "address_2": "(26-08872)",
            "address_purpose": "LOCATION",
            "city": "Moberly",
            "state": "MO",
            "postal_code": "652702334",
            "country_code": "US",
            "telephone_number": "660-263-0909",
            "fax_number": "660-263-2124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TADRUS",
        "first_name": "CHRISTIAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "44591",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MO",
            "license": "44591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "359147618",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moberly, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.