Individual provider Active NPI

Lisa Dawn Prsha, RPH

  • Pharmacist
  • Fulton, MO
National Provider Identifier
1376135426
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2018014093 Issued in MO
Practice address
600 Court St
Fulton, MO 65251-1903
Phone
(573) 642-6892
NPI assigned
Feb 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051040501 IL
Pharmacist 183500000X 2018014093 MO Primary

Addresses

Primary practice location

600 Court St
Fulton, MO 65251-1903

Mailing address

600 Court St
Fulton, MO 65251-1903
Phone (573) 642-6892

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rx11315@cvshealth.com

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
051040501ILMDPharmacist
2018014093MOMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1376135426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 COURT ST",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652511903",
            "telephone_number": "573-642-6892",
            "fax_number": "573-642-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 COURT ST",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652511903",
            "telephone_number": "573-642-6892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRSHA",
        "first_name": "LISA",
        "middle_name": "DAWN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051040501",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2018014093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rx11315@cvshealth.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "600 Court St",
            "city": "Fulton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652511903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fulton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.

Verify at the official NPI Registry.