Provider Demographics
NPI:1962819128
Name:PEARCE, MARIA D (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:D
Last Name:PEARCE
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 1:7701 FRONTAGE RD
Mailing Address - Street 2:WALMART PHARMACY
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66204-2364
Mailing Address - Country:US
Mailing Address - Phone:913-648-5335
Mailing Address - Fax:913-648-5390
Practice Address - Street 1:7701 FRONTAGE RD
Practice Address - Street 2:WALMART PHARMACY
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66204-2364
Practice Address - Country:US
Practice Address - Phone:913-648-5335
Practice Address - Fax:913-648-5390
Is Sole Proprietor?:No
Enumeration Date:2014-07-18
Last Update Date:2014-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-14204183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1-14204OtherKANSAS PHARMACY LICENSE