Justin Taber, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

23985 Issued in IA

Practice address

255 NW Victoria Dr Ste B
Lees Summit, MO 64086-4709

Phone

(855) 937-7273

NPI assigned

May 11, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Heritage Biologics, LLC

  • Home Infusion Therapy Pharmacy
  • Lees Summit, MO
  • NPI 1679943229
  NPD

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1972293041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 NW PRYOR RD APT 207",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640811145",
            "telephone_number": "816-507-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 NW VICTORIA DR STE B",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864709",
            "telephone_number": "855-937-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABER",
        "first_name": "JUSTIN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2021050249",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "70344",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "23686",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "23985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Symbria RX Services Great Plains, LLC
• Joseph Wesley Symes, D.C.
• Scott J Symes, PSY.D.
• Synergy Chiropractic LLC
• Anthony Szymankowski, PHARMD
• Malathi Tadakamalla, M.D.
• Robert Jack Takacs, M.D.
• Devon Talbert, NP
• Ahmed Sidiya Taleb Abdellah, M.D
• Kelly Talley, COTA

• All providers in Lees Summit, MO
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.