Active NPI
Angela Lynn Morrison, RPH
- Pharmacist
- Maryville, MO
National Provider Identifier
1164022927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 043666
- Practice address
- 1605 S Main St
Maryville, MO 64468-2611 - Phone
- (660) 562-3593
- NPI assigned
- Oct 29, 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 | 043666 | MO | Primary |
Addresses
Primary practice location
1605 S Main St
Maryville, MO 64468-2611
Mailing address
1422 S Munn Ave
Maryville, MO 64468-2723
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
| License | State | Type | Specialty |
|---|---|---|---|
| 043666 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603929600000",
"number": "1164022927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1422 S MUNN AVE",
"city": "MARYVILLE",
"state": "MO",
"postal_code": "644682723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 S MAIN ST",
"city": "MARYVILLE",
"state": "MO",
"postal_code": "644682611",
"telephone_number": "660-562-3593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISON",
"first_name": "ANGELA",
"middle_name": "LYNN",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-29",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "043666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maryville, MO
- Anthony Paul Melillo
- Kendall Miller
- Travis Earl Miller, M.S., CCC-SLP
- Timothy James Monahan, M.D.
- Courtney Leigh Morgan-Roberts, BCBA
- Mosaic Medical Center - Maryville
- Mosaic Medical Center - Maryville
- Mosaic Medical Center - Maryville
- Mosaic Medical Center - Maryville
- Mosaic Medical Center - Maryville
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.