Active NPI
Erin Svoboda
- Pharmacist
- Versailles, MO
National Provider Identifier
1073943940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2012017837
- Practice address
- 1003 W Newton St
Versailles, MO 65084-1813 - Phone
- (573) 378-5421
- Fax
- (573) 378-6554
- NPI assigned
- Nov 13, 2013
- Last updated
- Nov 13, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2012017837 | MO | Primary |
Addresses
Primary practice location
1003 W Newton St
Versailles, MO 65084-1813
Mailing address
PO Box 12
Versailles, MO 65084-0012
Phone (573) 378-5421
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012017837 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past | Accepting new patients | |
| Wal-Mart Stores East LP | Past | Accepting new patients |
Organizations & group practices 2
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 Walmart Pharmacy 10-0357
- Community/Retail Pharmacy
- Versailles, MO
- NPI 1861542110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384300800000",
"number": "1073943940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12",
"city": "VERSAILLES",
"state": "MO",
"postal_code": "650840012",
"telephone_number": "573-378-5421",
"fax_number": "573-378-6554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 W NEWTON ST",
"city": "VERSAILLES",
"state": "MO",
"postal_code": "650841813",
"telephone_number": "573-378-5421",
"fax_number": "573-378-6554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SVOBODA",
"first_name": "ERIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-13",
"last_updated": "2013-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2012017837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Versailles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.