DR. MUKTA MAHANKALI (NPI# 1194184986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194184986 |
| Entity Type | Individual |
| Full Name | DR. MUKTA MAHANKALI |
| Credential | PHARM.D. |
| Practice Address |
4300 Brenner Dr Suite 200 Kansas City KS 66104-1163 |
| Practice Telephone | 8162492780 |
| Mailing Telephone | 8162492780 |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2016-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 1-15312 | KS | Pharmacy Service Providers |
| Street Address |
4300 BRENNER DR SUITE 200 |
| City | KANSAS CITY |
| State | KS |
| Zip Code | 66104-1163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629049929 | Josetta Eliese Wahwassuck | Nurse Practitioner | 4300 Brenner Dr, Kvc Prairie Ridge Hospital, Kansas City, KS 66104 | 2006-01-27 |
| 1205484219 | Sarah Diane Kassin | Nurse Practitioner | 4300 Brenner Dr, Kansas City, KS 66104-1163 | 2019-09-03 |
| 1881197986 | Tricia Lea Felin | Nurse Practitioner | 4300 Brenner Dr, Kansas City, KS 66104-1163 | 2018-03-14 |
| 1639696743 | Jessica Collins Fairchilds | Nurse Practitioner | 4300 Brenner Dr, Kansas City, KS 66104-1163 | 2017-08-29 |
| 1275070724 | Kvc Hospital Inc | General Practice | 4300 Brenner Dr, Kansas City, KS 66104-1163 | 2017-01-23 |
| 1285068684 | Christine Ann Musgrove | Nurse Practitioner | 4300 Brenner Dr, Kansas City, KS 66104-1163 | 2013-08-21 |
| 1578876801 | Sadiq Naveed | Psychiatry & Neurology | 4300 Brenner Dr, Kansas City, KS 66104 | 2010-07-15 |
| 1174849251 | Kvc Hospitals Inc | Psychologist | 4300 Brenner Dr, Kansas City, KS 66104-1163 | 2010-04-14 |
| 1922252071 | Kvc Hospitals Inc | Psychiatric Residential Treatment Facility | 4300 Brenner Dr, Kansas City, KS 66104-1163 | 2008-11-14 |
| 1477730489 | Lauren Ashley Macpherson | Social Worker | 4300 Brenner Dr, Kansas City, KS 66104-1163 | 2008-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154757078 | Jacob Thomas Brownback | Student in an Organized Health Care Education/Training Program | 4628 Lafayette Ave, Kansas City, KS 66104 | 2013-09-24 |
| 1649238221 | Vishal K Adma | Psychiatry & Neurology | 4300 Brenner Drive, Kansas City, KS 66104 | 2006-05-03 |
| 1093191017 | Kvc Hospitals Inc | Psychiatric Hospital | 4300 Brenner Drive, Kansas City, KS 66104 | 2015-07-31 |
| 1750397733 | Joyce E Dorssom | Nurse Practitioner | 8919 Parallel Parkway, Suite 555, Kansas City, KS 66104 | 2006-07-31 |
| 1497125470 | Prescription Management Associates | Pharmacy | 4300 Brenner Dr Ste 200, Kansas City, KS 66104-1163 | 2015-10-02 |
| 1245599075 | Peatric Sambol-gordon | Registered Nurse | 4646 Sortor Dr, Kansas City, KS 66104-1253 | 2012-05-14 |
| 1104065143 | True Transport | Non-emergency Medical Transport (VAN) | 4600 Sortor Dr, Kansas City, KS 66104-1253 | 2009-02-16 |
| 1942256656 | Consolidated Resources Health Care Fund I, L.p. | Skilled Nursing Facility | 3231 N 61st St, Kansas City, KS 66104-1415 | 2006-05-25 |
| 1992997043 | Myo Inc | Psychiatry & Neurology | 6013 Leavenworth Rd, Kansas City, KS 66104-1436 | 2007-08-13 |
| 1023487188 | Rachel Melson | Nurse Practitioner | 6013 Leavenworth Rd, Kansas City, KS 66104-1436 | 2015-09-18 |
| Find all providers in zip 66104 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639065 | Kimberly Frederich | Pharmacist | 6149 N Mattox Rd, Kansas City, MO 64151-2579 | 2020-11-06 |
| 1396352753 | Alexis Cornelio | Pharmacist | 425 Washington St Apt 409, Kansas City, MO 64105-1115 | 2020-09-29 |
| 1255946513 | Kelly Robertson | Pharmacist | 3901 Rainbow Blvd # Ms 4040, Kansas City, KS 66160-8500 | 2020-09-14 |
| 1447869805 | Andrew Jay Schumacher | Pharmacist | 6119 Holmes St, Kansas City, MO 64110-3343 | 2020-07-30 |
| 1215559182 | Hetal Shah | Pharmacist | 985 Pennsylvania Ave, Kansas City, MO 64105-1315 | 2020-05-13 |
| 1447889787 | James Colin Leach | Pharmacist | 4515 Walnut St Apt 306a, Kansas City, MO 64111-7732 | 2020-04-08 |
| 1831737790 | Angela Cathleen Sanders | Pharmacist | 301 E Armour Blvd Ste 2-east, Kansas City, MO 64111-1245 | 2019-12-11 |
| 1205480837 | Janis Kay Wyland | Pharmacist | 1336 Ne 106th Ter, Kansas City, MO 64155-1746 | 2019-07-31 |
| 1962067751 | Edward Alviso | Pharmacist | 5815 N Ames Ave, Kansas City, MO 64151-2182 | 2019-05-07 |
| 1053976076 | Elaina Siegel | Pharmacist | 10238 N Mckinley Ave, Kansas City, MO 64157-7907 | 2019-05-06 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 66104 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.