Beau Alan Beattie, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

2018024628 Issued in MO

Practice address

1636 S Glenstone Ave Ste 108
Springfield, MO 65804-1527

Phone

(417) 450-4848

NPI assigned

Jul 11, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• AIDS Project of the Ozarks

  • Community/Retail Pharmacy
  • Springfield, MO
  • NPI 1194277681
  NPD (past)

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1043796162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 S GLENSTONE AVE STE 108",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041527",
            "telephone_number": "417-450-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 S GLENSTONE AVE STE 108",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041527",
            "telephone_number": "417-450-4848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3050 S National Ave Ste 109",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658044242",
            "country_code": "US",
            "telephone_number": "417-881-8822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1522 E Sunshine St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658041214",
            "country_code": "US",
            "telephone_number": "417-881-2910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEATTIE",
        "first_name": "BEAU",
        "middle_name": "ALAN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2018024628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana N Beasley, LCSW
• Jami L Beasley, NNP
• Michael Luther Beasley, D.D.S.
• Kaitlin Beason
• Linda B. Beason, LCSW
• Debra A Beauchamp, OTR/L
• Amber Leigh Beck, PA-C
• Bryan Beck, MD
• Irma Jean Beck, MSW, LCSW
• Karley B Beck, LCSW

• Pharmacist in Springfield, MO
• Providers in Springfield, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.