Paul Kelly Austin, PHARM D
Individual provider Active NPI Pharmacist · White Cloud, KS
NPI 1992686935 · NPPES record last updated Sep 8, 2025
Key facts
- NPI
- 1992686935
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2010040067 (MO)
- Practice address
- 3349B Thrasher Rd
White Cloud, KS 66094-4005 - Phone
- (785) 595-3455
- Fax
- (785) 595-3493
- NPI assigned
- Sep 8, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010040067 | MO | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2010040067 | MO | Yes |
Addresses
Primary practice location
3349B Thrasher Rd
White Cloud, KS 66094-4005
Mailing address
3349B Thrasher Rd
White Cloud, KS 66094-4005
Phone (785) 595-3455
Other providers in White Cloud, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2025. 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.