Active NPI
Lloyd Warner, RPH
- Pharmacist
- Pierce City, MO
National Provider Identifier
1396461273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 029915
- Practice address
- 119 E Main St
Pierce City, MO 65723-1228 - Phone
- (417) 476-2828
- NPI assigned
- Oct 13, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 029915 | MO | Primary |
Addresses
Primary practice location
119 E Main St
Pierce City, MO 65723-1228
Mailing address
1 Algernon PL
Bella Vista, AR 72715-8474
Phone (660) 342-6101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164976999 | Other | CMS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 029915 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Old Town Pharmacy Number 2 LLC | Past | Accepting new patients | |
| Thompson Family Drug | 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.
-
- Pharmacy
- Pierce City, MO
- NPI 1164976999
-
- Community/Retail Pharmacy
- Pierce City, MO
- NPI 1447329966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665619200000",
"number": "1396461273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ALGERNON PL",
"city": "BELLA VISTA",
"state": "AR",
"postal_code": "727158474",
"telephone_number": "660-342-6101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 E MAIN ST",
"city": "PIERCE CITY",
"state": "MO",
"postal_code": "657231228",
"telephone_number": "417-476-2828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNER",
"first_name": "LLOYD",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-13",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "029915",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMS",
"identifier": "1164976999",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pierce City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.