Paula Boettler, PHARM D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

MO2010019712 Issued in MO

Practice address

1 Turtle Dr
Wyandotte, OK 74370-2114

Phone

(918) 678-3244

NPI assigned

May 10, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tim Mitchell Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Neosho, MO
  • NPI 1952440422
  NPD (past)

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1184916116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S NEOSHO BLVD",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648502007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TURTLE DR",
            "city": "WYANDOTTE",
            "state": "OK",
            "postal_code": "743702114",
            "telephone_number": "918-678-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOETTLER",
        "first_name": "PAULA",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-10",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "20085",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "MO2010019712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Ray Baron, PTA
• Laci D Barton, APRN-CNP
• Community Health Center of Southeast Kansas, Inc.
• Jamie Teata Davis
• Erin Downing, LPC CANDIDATE
• Destaney Dawn Dugan, PRSS
• Amber Renea Dunegan, LCSW

• Pharmacist in Wyandotte, OK
• Providers in Wyandotte, OK by specialty
• Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.