Provider Demographics
NPI:1396120218
Name:SPRAUL, MEGAN M (PHARMD)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:M
Last Name:SPRAUL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:M
Other - Last Name:HERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8928 NE 116TH TER
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64157-2110
Mailing Address - Country:US
Mailing Address - Phone:573-535-8296
Mailing Address - Fax:
Practice Address - Street 1:6365 LEWIS DR
Practice Address - Street 2:
Practice Address - City:PARKVILLE
Practice Address - State:MO
Practice Address - Zip Code:64152-3699
Practice Address - Country:US
Practice Address - Phone:816-505-1708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-21
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-16989183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist