Active NPI
Susan Denise Quick, PHARMD
- Pharmacist
- Nixa, MO
National Provider Identifier
1396020806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2005011050
- Practice address
- 106 N Massey Blvd
Nixa, MO 65714-8118 - Phone
- (417) 724-9568
- NPI assigned
- Oct 15, 2011
- Sex
- Female
- 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 | 2005011050 | MO | Primary |
Addresses
Primary practice location
106 N Massey Blvd
Nixa, MO 65714-8118
Mailing address
106 N Massey
Nixa, MO 65714
Phone (417) 724-9568
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005011050 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318636800000",
"number": "1396020806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 N MASSEY",
"city": "NIXA",
"state": "MO",
"postal_code": "65714",
"telephone_number": "417-724-9568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 N MASSEY BLVD",
"city": "NIXA",
"state": "MO",
"postal_code": "657148118",
"telephone_number": "417-724-9568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUICK",
"first_name": "SUSAN",
"middle_name": "DENISE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-15",
"last_updated": "2011-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2005011050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nixa, MO
- Promise Care Center, LLC
- Promise Care Center, LLC
- Prosthetics and Orthotics of the Ozarks, Inc
- Denver William Purtee
- Rochelle Puryear
- Brittany Ramsey, COTA/L
- Shelby Reams
- Courtney Reel
- Regional Care of Nixa, LLC (Christian Health and Rehabilitation of Nixa)
- Regional Services (Coxhealth School Based Telemedicine)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.