Individual provider Active NPI

Angela M Neal, BS PHARM

  • Pharmacist
  • Osage Beach, MO
National Provider Identifier
1295029239
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
045290 Issued in MO
Practice address
919 Highway D
T-1914
Osage Beach, MO 65065-3169
Phone
(573) 348-5963
Fax
(573) 348-5963
NPI assigned
Jun 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 045290 MO Primary

Addresses

Primary practice location

919 Highway D
T-1914
Osage Beach, MO 65065-3169

Mailing address

13655 N Hwy 5
Sunrise Beach, MO 65079-3169
Phone (573) 372-8305

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
Bachelor of Science, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
045290MOMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Evans Drugs Sunrise Beach LLC PastSince Mar 24, 2025 Accepting new patients

Organizations & group practices 1

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": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1295029239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13655 N HWY 5",
            "city": "SUNRISE BEACH",
            "state": "MO",
            "postal_code": "650793169",
            "telephone_number": "573-372-8305",
            "fax_number": "573-372-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 HIGHWAY D",
            "address_2": "T-1914",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653169",
            "telephone_number": "573-348-5963",
            "fax_number": "573-348-5963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "ANGELA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "BS PHARM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "045290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osage Beach, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.