Individual provider Active NPI

Catherine Ann Primrose, RPH

  • Ambulatory Care Pharmacist
  • Monett, MO
National Provider Identifier
1033769831
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
041945 Issued in MO
Practice address
885 E US Highway 60
Monett, MO 65708-9367
Phone
(417) 235-5980
Fax
(417) 235-5627
NPI assigned
Sep 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X 041945 MO Primary

Addresses

Primary practice location

885 E US Highway 60
Monett, MO 65708-9367

Mailing address

885 E US Highway 60
Monett, MO 65708-9367
Phone (417) 235-5980

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address caprimr.s00048.us@wal-mart.com

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
041945MOMDAmbulatory Care Pharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1033769831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 E US HIGHWAY 60",
            "city": "MONETT",
            "state": "MO",
            "postal_code": "657089367",
            "telephone_number": "417-235-5980",
            "fax_number": "417-235-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 E US HIGHWAY 60",
            "city": "MONETT",
            "state": "MO",
            "postal_code": "657089367",
            "telephone_number": "417-235-5980",
            "fax_number": "417-235-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIMROSE",
        "first_name": "CATHERINE",
        "middle_name": "ANN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "MO",
            "license": "041945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "caprimr.s00048.us@wal-mart.com",
            "affiliation": "N",
            "endpointDescription": "work address",
            "address_1": "885 E US Highway 60",
            "city": "Monett",
            "state": "MO",
            "country_code": "US",
            "postal_code": "657089367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monett, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.