Provider Demographics
NPI:1528273471
Name:TARPENNING, KATRINA MARIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KATRINA
Middle Name:MARIE
Last Name:TARPENNING
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2310 N SIX MILE CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64058-2280
Mailing Address - Country:US
Mailing Address - Phone:816-718-5452
Mailing Address - Fax:
Practice Address - Street 1:1400 SW EAGLES PKWY
Practice Address - Street 2:
Practice Address - City:GRAIN VALLEY
Practice Address - State:MO
Practice Address - Zip Code:64029
Practice Address - Country:US
Practice Address - Phone:816-847-9200
Practice Address - Fax:816-847-9201
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004031016183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist