KENDRA KARMEL FITZGERALD (NPI# 1548861404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548861404 |
| Entity Type | Individual |
| Full Name | KENDRA KARMEL FITZGERALD |
| Practice Address |
2543 Hood Ave Overland MO 63114-3259 |
| Practice Telephone | 3147361093 |
| Practice Fax Number | 3147361097 |
| Mailing Telephone | 3147361093 |
| Mailing Fax Number | 3147361097 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
1752 | MO | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | FEDERAL IDENTIFICATION NUMBER | 844751516 | 01 |
| MO | MISSOURI TAX | 26263572 | 01 |
| Street Address |
2543 HOOD AVE |
| City | OVERLAND |
| State | MO |
| Zip Code | 63114-3259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619006467 | St Elizabeth Adult Day Care Center | Clinic/Center | 2543 Hood Ave, Overland, MO 63114-3259 | 2007-03-05 |
| 1134720097 | Hand To Hand Adult Daycare LLC | Clinic/Center | 2543 Hood Ave, Overland, MO 63114-3259 | 2020-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053926964 | Deann Porter | Prosthetist | 8743 Mavis Place, St Louis, MO 63114 | 2020-09-09 |
| 1255971438 | Hughes In Home Services | Home Health | 9319 Midland Ste B, St Louis, MO 63114 | 2020-01-15 |
| 1740714724 | Catherine Kagotho | Nurse Practitioner | 9915 Broadmoor Dr, Apt 4, Overland, MO 63114 | 2017-04-17 |
| 1073051371 | Ruth & Naomi Adult Day Services, Inc | Clinic/Center | 9443-9445 Lackland Road, St. Louis, MO 63114 | 2017-02-07 |
| 1992103691 | Lisa Abernathy | Social Worker | 9705 Tennyson Court, Saint Louis, MO 63114 | 2014-12-11 |
| 1356626808 | William J Norbury | Pharmacist | 8000 St. Charles Rock Road, Walgreens Pharmacy 4825, St.louis, MO 63114 | 2011-10-17 |
| 1770719700 | Total Renal Care Inc | Clinic/Center | 9030 Saint Charles Rock Rd, Saint Louis, MO 63114 | 2009-06-04 |
| 1710126792 | Risingabove Independent Supported Living | Assisted Living Facility | 2330 # 2 Woodson Road, Overland, MO 63114 | 2009-02-13 |
| 1427215789 | Wnf Medical, LLC | Durable Medical Equipment & Medical Supplies | 1908-2000 Innerhelt Business Center Dr., Suite 1968, Overland, MO 63114 | 2008-05-22 |
| 1891838744 | Easter Seals Midwest | Day Training, Developmentally Disabled Services | 2215 Lackland Road, Overland, MO 63114 | 2007-02-14 |
| Find all providers in zip 63114 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855642 | Tiffany Anna Athon | Pharmacist | Hy-vee Pharmacy, 500 N Baltimore, Kirksville, MO 63501 | 2020-06-11 |
| 1881197713 | Ude Uche Ude | Pharmacist | 118 Edna, Waynesville, MO 65583-7875 | 2018-03-16 |
| 1598280455 | Dennis Pezzani | Pharmacist | 1 Academy Pl, Dardenne Prairie, MO 63368-7602 | 2017-08-11 |
| 1508228644 | Caren A Miller | Pharmacist | 212 Nw 21st Rd, Warrensburg, MO 64093-7901 | 2016-03-28 |
| 1588289789 | Bailey Lane Sherry | Pharmacist | 1100 S Springfield Ave, Bolivar, MO 65613-2512 | 2020-06-12 |
| 1114546983 | Amy Nguyen | Pharmacist | 8301 N Church Rd, Kansas City, MO 64158-1106 | 2020-04-13 |
| 1962021733 | Brian Grace | Pharmacist | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-04-13 |
| 1982247706 | Paul Hanbo Chin | Pharmacist | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2019-10-24 |
| 1093358293 | Margaret Stepaniak | Pharmacist | 331 Sijan Ave, Whiteman Afb, MO 65305 | 2019-10-21 |
| 1033769831 | Catherine Ann Primrose | Pharmacist | 885 E Us Highway 60, Monett, MO 65708-9367 | 2019-09-13 |
| Find all providers with the same taxonomy | ||||
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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.