Bobbie Jo Cortez, PHARMD
Individual provider Active NPI Pharmacist · Moberly, MO
NPI 1235866674 · NPPES record last updated Aug 5, 2022
Key facts
- NPI
- 1235866674
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2022028380 (MO)
- Practice address
- 1301 Hwy US-24
Moberly, MO 65270 - Phone
- (660) 263-0494
- NPI assigned
- Aug 5, 2022
- 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 |
|---|---|---|---|
| 2022028380 | MO | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2022028380 | MO | Yes |
Addresses
Primary practice location
1301 Hwy US-24
Moberly, MO 65270
Mailing address
4015 Snowy Owl Dr
Columbia, MO 65202-3969
Phone (660) 631-9444
Other providers in Moberly, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2022. 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.