Ashley Scroggins, PHARM.D.
Individual provider Active NPI Pharmacist · Brookline, MO
NPI 1013384437 · NPPES record last updated Feb 19, 2021
Key facts
- NPI
- 1013384437
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2014026387 (MO)
- Practice address
- 6129 W US Highway 60
Brookline, MO 65619-9441 - Phone
- (417) 708-5050
- Fax
- (417) 708-5055
- NPI assigned
- Sep 2, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014026387 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missouri LTC Pharmacy LLC | Current |
Accepting new patients | |
| Missouri LTC Pharmacy LLC | Current |
Accepting new patients | |
| Wal-Mart Stores East , LP | Past |
Accepting new patients | |
| Wal-Mart Stores East, LP | Past | Accepting new patients |
Locations
6129 W US Highway 60
Brookline, MO 65619
Phone (417) 708-5050
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2014026387 | MO | Yes |
Addresses
Primary practice location
6129 W US Highway 60
Brookline, MO 65619-9441
Mailing address
6129 W US Highway 60
Brookline, MO 65619-9441
Phone (417) 708-5050
Other practice location 1
545 W El Camino Alto Dr
Springfield, MO 65810-4719
Phone (417) 414-6626
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2014026387 | Other | MO | PHARMACIST LICENSE NUMBER FOR MISSOURI |
Other providers in Brookline, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.