Active NPI
Stacy Norton
- Pharmacist
- Bowling Green, MO
National Provider Identifier
1154922482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2012027492
- Practice address
- 3 Town Center Dr
Bowling Green, MO 63334-2801 - Phone
- (573) 324-0004
- NPI assigned
- Nov 3, 2020
- Last updated
- Nov 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 2012027492 | MO | Primary |
Addresses
Primary practice location
3 Town Center Dr
Bowling Green, MO 63334-2801
Mailing address
20 Lake Forest CT
Troy, MO 63379-3861
Phone (636) 697-2217
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 |
|---|---|---|---|
| 2012027492 | 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 10-0145
- Community/Retail Pharmacy
- Bowling Green, MO
- NPI 1124045489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1154922482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 LAKE FOREST CT",
"city": "TROY",
"state": "MO",
"postal_code": "633793861",
"telephone_number": "636-697-2217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 TOWN CENTER DR",
"city": "BOWLING GREEN",
"state": "MO",
"postal_code": "633342801",
"telephone_number": "573-324-0004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORTON",
"first_name": "STACY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-03",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2012027492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowling Green, MO
- Niemann Foods Inc (County Market Pharmacy 397)
- North East Commuinty Action Corp
- North East Commuinty Action Corp
- North East Commuinty Action Corp
- Marcie Norton, FNP
- Wil Casper Norviel, PA-C, MPAS
- Christene Ann O'Loughlin, FNP
- Parkside Manor LLC
- Pike County Agency for Developmental Disabilities
- Pike County Agency for Developmental Disabilities
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.