Koby Prater, PHARMD is a
Pharmacist based in Seneca, Missouri. Koby Prater is licensed to practice in Missouri (license number 2010009500) and his current practice location is
1711 Cherokee Avenue, Seneca, Missouri. He can be reached at his office (for appointments etc.) via phone at
(417) 776-8701.
NPI number for Koby Prater is 1285959551 and his current mailing address is Po Box 280, Seneca, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285959551.
Healthcare Provider's Profile
| Full Name | Koby Prater |
|---|
| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 1711 Cherokee Avenue, Seneca, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1285959551
- Provider Enumeration Date: 03/30/2010
- Last Update Date: 10/14/2014
Medical Identifiers
Medical identifiers for Koby Prater such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285959551 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 2010009500 (Missouri) | Primary |
| 183500000X | Pharmacist | 15664 (Oklahoma) | Secondary |
| 183500000X | Pharmacist | PD12682 (Arkansas) | Secondary |
| 183500000X | Pharmacist | 1-16501 (Kansas) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Koby Prater is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Koby Prater, PHARMD
Po Box 280,
Seneca, MO 64865-0280
Ph: (417) 776-8701 | Koby Prater, PHARMD
1711 Cherokee Avenue,
Seneca, MO 64865
Ph: (417) 776-8701 |
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