Active NPI
Jill Andrea Sellers, BSPHARM, PHARMD
- Pharmacotherapy Pharmacist
- Springfield, MO
National Provider Identifier
1013296631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 043683
- Practice address
- 3650 E Sunshine St
Springfield, MO 65809-2820 - Phone
- (417) 889-7898
- NPI assigned
- Aug 13, 2011
- Last updated
- Aug 13, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 043683 | MO | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 043683 | MO |
Addresses
Primary practice location
3650 E Sunshine St
Springfield, MO 65809-2820
Mailing address
4185 E Wilshire St
Springfield, MO 65809-3407
Phone (218) 209-1514
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043683 | MO | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Koerbles Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba George's Pharmacy
- Community/Retail Pharmacy
- Springfield, MO
- NPI 1740246636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313193600000",
"number": "1013296631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4185 E WILSHIRE ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658093407",
"telephone_number": "218-209-1514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 E SUNSHINE ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658092820",
"telephone_number": "417-889-7898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELLERS",
"first_name": "JILL",
"middle_name": "ANDREA",
"name_prefix": "Dr.",
"credential": "BSPHARM, PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-13",
"last_updated": "2011-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "MO",
"license": "043683",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MO",
"license": "043683",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
- Select Specialty Hospital Springfield Inc (Select Medical Rehabilitation - Springfield)
- Select Specialty Hospital Springfield Inc (Select Specialty Hospital Springfield)
- Select Specialty Hospital Springfield Inc
- Catharine Evelyn Sellers, C-A/GNP
- Cortlandt Mercy Sellers, MD
- Tambra L Sellers, NP-C
- Samantha Grace Selsor, MS, RDN, LD
- Arnab Sengupta, M.D., MPH
- Senior Living Management Group, LLC (Birch Pointe Health and Rehabilitation)
- Seniorage Area Agency on Aging (Polk County Adult Day Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.