Susan Raylette Barton, RPH.
Individual provider Active NPI Pharmacist · O Fallon, MO
NPI 1265032965 · NPPES record last updated Oct 30, 2020
Key facts
- NPI
- 1265032965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 044905 (MO)
- Practice address
- 1307 Highway K
O Fallon, MO 63366-5978 - Phone
- (636) 980-9300
- Fax
- (636) 978-8447
- NPI assigned
- Oct 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044905 | MO | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 044905 | MO | Yes |
Addresses
Primary practice location
1307 Highway K
O Fallon, MO 63366-5978
Mailing address
1307 Highway K
O Fallon, MO 63366-5978
Phone (636) 980-9300
Other names
- Mrs. Raylette Barton
Other providers in O Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2020. 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.