DR. KEVIN EUGENE PROFFITT PHARMD
NPI 1023390804
Pharmacist in Liberty, MO

Q: What is Kevin Proffitt's NPI number?

The NPI number for Kevin Proffitt is 1023390804. It was assigned to this individual provider in the NPPES registry on September 16, 2011.

Q: What is Kevin Proffitt's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Proffitt was last updated on September 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 16, 2011

1191 W KANSAS ST, LIBERTY, MO 64068(816) 781-9347(816) 781-9492 Get Directions Write a Review

NPPES record last updated: September 16, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kevin Eugene Proffitt Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEVIN EUGENE PROFFITT PHARMD (NPI 1023390804) is an individual pharmacist in Liberty, Missouri, licensed in Missouri (045015) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1023390804

Entity TypeIndividualMale

Primary Taxonomy183500000X

Provider Legal NameDR. KEVIN EUGENE PROFFITTCredential: PHARMD

Location Address1191 W KANSAS STLiberty, MO 64068-2281

Mailing Address1191 W Kansas StLiberty, MO 64068-2281 · (816) 781-9347 · Fax (816) 781-9492

Phone(816) 781-9347

Fax(816) 781-9492

Sole ProprietorNo

Enumeration DateSeptember 16, 2011

✔ NPI 1023390804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

License✔ Licensed in MO · 045015

Definition

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.

1191 W KANSAS ST, Liberty, MO 64068

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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUSTIN DAVID GREENHAGEN

Pharmacist