Amy Rhoades, PHARMD

Individual provider Active NPI Pharmacist · Princeton, MO

NPI 1386296358 · NPPES record last updated Jul 10, 2019

Key facts

NPI
1386296358
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
2005021391 (MO)
Practice address
21748 US Highway 65
Princeton, MO 64673-7865
Phone
(660) 748-4048
Fax
(660) 748-4044
NPI assigned
Jul 10, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
2005021391MOMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Medley Pharmacy Inc Past
since Apr 1, 2022
Accepting new patients
Medley Pharmacy Inc. Past
since Feb 16, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2005021391 MO Yes

Addresses

Primary practice location

21748 US Highway 65
Princeton, MO 64673-7865

Mailing address

21748 US Highway 65
Princeton, MO 64673-7865
Phone (660) 748-4048

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL Trenton Direct
CONNECT URL Princeton Direct

Other providers in Princeton, MO

All providers in Princeton, MO · Pharmacist in Missouri

Sources for this page

Verify at the official NPI Registry.