Active NPI
Becky Fowkes
- Pharmacist
- Joplin, MO
National Provider Identifier
1174818231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 044916
- Practice address
- 1227 E 32ND St Ste 5
Joplin, MO 64804-2904 - Phone
- (417) 623-7907
- Fax
- (417) 623-7907
- NPI assigned
- Jun 16, 2011
- Last updated
- Jun 16, 2011
- 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 | 044916 | MO | Primary |
Addresses
Primary practice location
1227 E 32ND St Ste 5
Joplin, MO 64804-2904
Mailing address
1227 E 32ND St Ste 5
Joplin, MO 64804-2904
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 |
|---|---|---|---|
| 044916 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missouri LTC Pharmacy LLC | Current | Accepting new patients | |
| Missouri LTC Pharmacy LLC | Current | 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 Infinium Pharmacy - Republic
- Long Term Care Pharmacy
- Brookline, MO
- NPI 1003327537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308182400000",
"number": "1174818231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1227 E 32ND ST STE 5",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648042904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1227 E 32ND ST STE 5",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648042904",
"telephone_number": "417-623-7907",
"fax_number": "417-623-7907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWKES",
"first_name": "BECKY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-16",
"last_updated": "2011-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "044916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joplin, MO
- Four State Regional Dialysis Center, Inc. (Fresenius Medical Care Joplin West)
- Four States Anesthesia Services LLC
- Four States Hearing Center LLC
- Four States Pain Relief Institute, LLC (4 Corners Pain Relief Institute, LLC)
- Four States Surgery Center, PC (Four States Surgery Center,)
- Frank W. Shagets, Jr., M.D., P.C.
- Christa Nicole Frazier, PHARM D
- Ericka Freeborn
- Blair Joelle Freed, DO
- Freeman Health System
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.