Andrea L Boyd, PHARMD
Individual provider Active NPI Pharmacist · Plattsburg, MO
NPI 1215045745 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1215045745
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2000169287 (MO)
- Practice address
- 400 W. Clay Ave
Plattsburg Clinic Pharmacy
Plattsburg, MO 64477 - Phone
- (816) 539-2121
- Fax
- (816) 539-3823
- NPI assigned
- Aug 25, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000169287 | MO | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2000169287 | MO | Yes |
Addresses
Primary practice location
400 W. Clay Ave
Plattsburg Clinic Pharmacy
Plattsburg, MO 64477
Mailing address
5604 Meadow CT S
Parkville, MO 64152-6116
Phone (816) 539-2121
Other providers in Plattsburg, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.