Anne Kennedy, RPH
Individual provider Active NPI Pharmacist · Mountain View, MO
NPI 1023732104 · NPPES record last updated Oct 3, 2022
Key facts
- NPI
- 1023732104
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 042447 (MO)
- Practice address
- 101 W US Highway 60
Mountain View, MO 65548-8542 - Phone
- (417) 934-2212
- NPI assigned
- Oct 3, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042447 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 042447 | MO | Yes |
Addresses
Primary practice location
101 W US Highway 60
Mountain View, MO 65548-8542
Mailing address
101 W US Highway 60
Mountain View, MO 65548-8542
Phone (417) 934-2212
Other providers in Mountain View, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2022. 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.