Alexander Cosby, PHARMD
Individual provider Active NPI Pharmacist · Brookfield, MO
NPI 1407428691 · NPPES record last updated Jul 15, 2021
Key facts
- NPI
- 1407428691
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2021027206 (MO)
- Practice address
- 937 Park Circle Dr
Brookfield, MO 64628-7920 - Phone
- (660) 258-7404
- NPI assigned
- Jul 15, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2021027206 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past |
Accepting new patients | |
| Wal-Mart Stores East LP | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2021027206 | MO | Yes |
Addresses
Primary practice location
937 Park Circle Dr
Brookfield, MO 64628-7920
Mailing address
937 Park Circle Dr
Brookfield, MO 64628-7920
Phone (660) 258-7404
Other providers in Brookfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.