DR. MELITA DIANE CROOM (NPI# 1124293592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124293592 |
| Entity Type | Individual |
| Full Name | DR. MELITA DIANE CROOM |
| Credential | PHARM.D., M.P.A. |
| Practice Address |
2464 Charlotte St 1220 Kansas City MO 64108-2718 |
| Practice Telephone | 8162355490 |
| Mailing Telephone | 8162355490 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 2007032076 | MO | Pharmacy Service Providers |
| Street Address |
2464 CHARLOTTE ST 1220 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64108-2718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689664690 | Renee Endicott | Nurse Practitioner | 2464 Charlotte St, Kansas City, MO 64108-2718 | 2005-10-21 |
| 1609350305 | Kristina Joyce Mitchell | Nurse Practitioner | 2464 Charlotte St, Kansas City, MO 64108-2718 | 2018-09-18 |
| 1649630393 | Kylie Nicole Barnes | Pharmacist | 2464 Charlotte St, Suite 4250, Kansas City, MO 64108-2718 | 2016-02-23 |
| 1356601595 | Morgan Leigh Sperry | Pharmacist | 2464 Charlotte St, Room 1220, Kansas City, MO 64108-2718 | 2012-05-22 |
| 1710114012 | Patricia Ann Marken | Pharmacist | 2464 Charlotte St, Kansas City, MO 64108-2718 | 2009-06-15 |
| 1679729099 | Andrew J Smith | Pharmacist | 2464 Charlotte St, Hsb 4242, Kansas City, MO 64108-2718 | 2008-08-18 |
| 1447413042 | Kasandra Bearden | Nurse Practitioner | 2464 Charlotte St, Kansas City, MO 64108-2718 | 2008-07-03 |
| 1194990564 | Heather A Pace | Pharmacist | 2464 Charlotte St, #1227, Kansas City, MO 64108-2718 | 2008-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194345561 | Diversity Telehealth, LLC | Health Educator | 1601 East 18th Street, 320a, Kansas City, MO 64108 | 2020-04-25 |
| 1447894092 | Claire-louise Sophia Young | Student in an Organized Health Care Education/Training Program | Truman Medical Center - Department of Pathology, 2301 Holmes, Kansas City, MO 64108 | 2019-11-06 |
| 1053962415 | Kymberly Kline | Behavior Technician | Riley Aba & Autism Center, 1936 Summit St, Kansas City, MO 64108 | 2019-09-26 |
| 1841854643 | Mallak Ahmed Ghozlan Zatreh | Student in an Organized Health Care Education/Training Program | 2301 Homes Street, Kansas City, MO 64108 | 2019-04-26 |
| 1003470881 | Sindhuja Palle | Internal Medicine | Truman Medial Center, 2301 Holmes Dept. of Interal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1467016253 | Osama Mahmoud Okasha | Internal Medicine | Truman Medicial Center, 2301 Holmes, Dept of Internal Medicine, Kansas City, MO 64108 | 2019-04-26 |
| 1730643719 | Michele D Smith | Registered Nurse | 2101 Charlotte Street, Urology, Kansas City, MO 64108 | 2019-01-24 |
| 1437640414 | Omar Fayez Ahmad Abuqamar | Student in an Organized Health Care Education/Training Program | Truman Medical Center, 2301 Holmes St., Dept. of Internal Medicine, Kansas City, MO 64108 | 2018-05-24 |
| 1992200190 | Hannah Rebekah Hurst | Student in an Organized Health Care Education/Training Program | 2101 Charlotte St Ste 200, Kansas City, MO 64108 | 2018-03-28 |
| 1659873404 | William Andrew Carroll | Chiropractor | 313 E. 17th St. #210, Kansas City, MO 64108 | 2018-03-07 |
| Find all providers in zip 64108 | ||||
| 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 | 64108 |
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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.