Individual provider Active NPI

Anthony J Spalitto III, PHARM.D

  • Pharmacy
  • Clinton, MO
National Provider Identifier
1245834985
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
2019032268 Issued in MO
Practice address
1501 E Ohio St
Clinton, MO 64735-2432
Phone
(660) 890-0707
NPI assigned
Nov 23, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 2019032268 MO Primary

Addresses

Primary practice location

1501 E Ohio St
Clinton, MO 64735-2432

Mailing address

1501 E Ohio St
Clinton, MO 64735-2432
Phone (606) 890-0707

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
2019032268MOMDPharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Missouri CVS Pharmacy LLC Pharmacy PastSince Nov 29, 2020 Accepting new patients
Missouri CVS Pharmacy LLC Pharmacy PastSince Nov 29, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1245834985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 E OHIO ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352432",
            "telephone_number": "606-890-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E OHIO ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352432",
            "telephone_number": "660-890-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPALITTO",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "name_suffix": "III",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MO",
            "license": "2019032268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.