Active NPI
Karen Marie Dameron, RPH
- Nutrition Support Pharmacist
- Springfield, MO
National Provider Identifier
1194261016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Support Pharmacist
- License
- 042860
- Practice address
- 3801 S National Ave
Pharmacy Department
Springfield, MO 65807-5210 - Phone
- (417) 269-6230
- NPI assigned
- Jan 17, 2017
- 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 |
|---|---|---|---|---|
| Nutrition Support Pharmacist | 1835N1003X | 042860 | MO | Primary |
Addresses
Primary practice location
3801 S National Ave
Pharmacy Department
Springfield, MO 65807-5210
Mailing address
3801 S National Ave
Pharmacy Department
Springfield, MO 65807-5210
Phone (417) 269-6230
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 |
|---|---|---|---|
| 042860 | MO | MD | Nutrition Support Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484611200000",
"number": "1194261016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 S NATIONAL AVE",
"address_2": "PHARMACY DEPARTMENT",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075210",
"telephone_number": "417-269-6230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 S NATIONAL AVE",
"address_2": "PHARMACY DEPARTMENT",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075210",
"telephone_number": "417-269-6230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMERON",
"first_name": "KAREN",
"middle_name": "MARIE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-17",
"last_updated": "2017-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "1835N1003X",
"taxonomy_group": "",
"desc": "Pharmacist, Nutrition Support",
"state": "MO",
"license": "042860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.