Kayla McWilliams
Individual provider Active NPI Pharmacist · Wildwood, MO
NPI 1982484028 · NPPES record last updated Oct 5, 2023
Key facts
- NPI
- 1982484028
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2019017429 (MO)
- Practice address
- 2460 Taylor Rd # 2
Wildwood, MO 63040-1222 - Phone
- (636) 458-7450
- NPI assigned
- Oct 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019017429 | MO | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2019017429 | MO | Yes |
Addresses
Primary practice location
2460 Taylor Rd # 2
Wildwood, MO 63040-1222
Mailing address
2460 Taylor Rd
Wildwood, MO 63040-1222
Phone (636) 458-7450
Other providers in Wildwood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.