MEDICARE: DR. ALAN CARTER PHARM. D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	10180	KS
2	183500000X	Pharmacist	40530	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	40530	OTHER	MO	PHARMACIST LICENSE NUMBER
2	10180	OTHER	KS	PHARMACIST LICENSE NUMBER

General Provider Information

NPI Number	:	1598761199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN CARTER PHARM. D.

Provider Business Mailing Address
First Line	:	11237 WINCHESTER DR
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66109-4088
Country	:	US
Telephone Number	:	913-745-4056
Fax Number	:

Provider Business Practice Location Address
First Line	:	11237 WINCHESTER DR
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66109-4088
Country	:	US
Telephone Number	:	913-745-4056
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	07/08/2007

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