Active NPI
Zachary Thomas Toenjes
- Pharmacist
- Desloge, MO
National Provider Identifier
1356009963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2021037652
- Practice address
- 407 N State St
Desloge, MO 63601-3053 - Phone
- (618) 581-4578
- NPI assigned
- Nov 30, 2021
- Last updated
- Nov 30, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2021037652 | MO | Primary |
Addresses
Primary practice location
407 N State St
Desloge, MO 63601-3053
Mailing address
11 Prairie View Est
Columbia, IL 62236-3335
Phone (618) 581-4578
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021037652 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638230400000",
"number": "1356009963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 PRAIRIE VIEW EST",
"city": "COLUMBIA",
"state": "IL",
"postal_code": "622363335",
"telephone_number": "618-581-4578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 N STATE ST",
"city": "DESLOGE",
"state": "MO",
"postal_code": "636013053",
"telephone_number": "618-581-4578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOENJES",
"first_name": "ZACHARY",
"middle_name": "THOMAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-30",
"last_updated": "2021-11-30",
"certification_date": "2021-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2021037652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Desloge, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.