Active NPI
Jenny Marinda Sibley
- Pharmacist
- El Dorado Springs, MO
National Provider Identifier
1184447781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2024031790
- Practice address
- 209 E US Highway 54
El Dorado Springs, MO 64744-1925 - Phone
- (417) 876-3313
- NPI assigned
- Nov 4, 2024
- Last updated
- Nov 4, 2024
- 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 | 2024031790 | MO | Primary |
Addresses
Primary practice location
209 E US Highway 54
El Dorado Springs, MO 64744-1925
Mailing address
209 E US Highway 54
El Dorado Springs, MO 64744-1925
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 |
|---|---|---|---|
| 2024031790 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1184447781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 E US HIGHWAY 54",
"city": "EL DORADO SPRINGS",
"state": "MO",
"postal_code": "647441925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 E US HIGHWAY 54",
"city": "EL DORADO SPRINGS",
"state": "MO",
"postal_code": "647441925",
"telephone_number": "417-876-3313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIBLEY",
"first_name": "JENNY",
"middle_name": "MARINDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-04",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2024031790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Dorado Springs, MO
- Red Brick Care
- Jacque L. Reynolds, DO
- James Michael Riscoe, MD
- Melody Joy Rohrbaugh, LPC
- Sac Osage Home Health Care Inc
- Skills Unlimited Inc
- Shelly Ann Sorden, FNP-C
- St Johns Clinic Inc (SJC-El Dorado Springs)
- State of Missouri (Southwest Missouri Psychiatric Rehabilitation Center)
- State of Missouri (Southwest MO Psychiatric Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.