Provider Demographics
NPI:1598761199
Name:CARTER, ALAN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:
Last Name:CARTER
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11237 WINCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66109-4088
Mailing Address - Country:US
Mailing Address - Phone:913-745-4056
Mailing Address - Fax:
Practice Address - Street 1:11237 WINCHESTER DR
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66109-4088
Practice Address - Country:US
Practice Address - Phone:913-745-4056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS10180183500000X
MO40530183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO40530OtherPHARMACIST LICENSE NUMBER
KS10180OtherPHARMACIST LICENSE NUMBER