Individual provider Active NPI

Amy Dawn Badgley, PHARMD

  • Pharmacist
  • Webb City, MO
National Provider Identifier
1154819746
Registry record updated Apr 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1999140476 Issued in MO
Practice address
1212 S Madison St
Webb City, MO 64870-2834
Phone
(417) 673-5623
Fax
(417) 673-5409
NPI assigned
Apr 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1999140476 MO Primary

Addresses

Primary practice location

1212 S Madison St
Webb City, MO 64870-2834

Mailing address

1212 S Madison St
Webb City, MO 64870-2834
Phone (417) 673-5623

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
1999140476MOMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1524960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524960000000",
    "number": "1154819746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 S MADISON ST",
            "city": "WEBB CITY",
            "state": "MO",
            "postal_code": "648702834",
            "telephone_number": "417-673-5623",
            "fax_number": "417-673-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 S MADISON ST",
            "city": "WEBB CITY",
            "state": "MO",
            "postal_code": "648702834",
            "telephone_number": "417-673-5623",
            "fax_number": "417-673-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADGLEY",
        "first_name": "AMY",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-29",
        "last_updated": "2018-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "1999140476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webb City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.