Active NPI
Lauren Marie Bozarth, PHARMD
- Pharmacist
- Quincy, IL
National Provider Identifier
1255766424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.298446
- Practice address
- 3700 Broadway St
Quincy, IL 62305-2822 - Phone
- (217) 224-7555
- Fax
- (217) 228-0352
- NPI assigned
- Sep 6, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-15867 | KS | |
| Pharmacist | 183500000X | 051.298446 | IL | Primary |
| Pharmacist | 183500000X | 2013024750 | MO |
Addresses
Primary practice location
3700 Broadway St
Quincy, IL 62305-2822
Mailing address
5509 Lakeline Dr
Quincy, IL 62305-8296
Phone (314) 591-7206
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051.298446 | IL | MD | Pharmacist |
| 1-15867 | KS | MD | Pharmacist |
| 2013024750 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602720000000",
"number": "1255766424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5509 LAKELINE DR",
"city": "QUINCY",
"state": "IL",
"postal_code": "623058296",
"telephone_number": "314-591-7206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 BROADWAY ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623052822",
"telephone_number": "217-224-7555",
"fax_number": "217-228-0352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOZARTH",
"first_name": "LAUREN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-06",
"last_updated": "2020-10-15",
"certification_date": "2020-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-15867",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.298446",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2013024750",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quincy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.