Individual provider Active NPI

Patricia Chapin, RPH

  • Pharmacist
  • West Plains, MO
National Provider Identifier
1124456207
Registry record updated Oct 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
040973 Issued in MO
Practice address
805 N Kentucky Ave
Suite 2
West Plains, MO 65775-2022
Phone
(417) 256-2274
Fax
(417) 256-1036
NPI assigned
Oct 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 040973 MO Primary

Addresses

Primary practice location

805 N Kentucky Ave
Suite 2
West Plains, MO 65775-2022

Mailing address

805 N Kentucky Ave
Suite 2
West Plains, MO 65775-2022
Phone (417) 256-2274

Other identifiers 1

IdentifierTypeStateIssuer
358339406MedicaidMO

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
040973MOMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1382918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382918400000",
    "number": "1124456207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N KENTUCKY AVE",
            "address_2": "SUITE 2",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752022",
            "telephone_number": "417-256-2274",
            "fax_number": "417-256-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 N KENTUCKY AVE",
            "address_2": "SUITE 2",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657752022",
            "telephone_number": "417-256-2274",
            "fax_number": "417-256-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPIN",
        "first_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-28",
        "last_updated": "2013-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "040973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "358339406",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Plains, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.

Verify at the official NPI Registry.