Michelle Boeckmann

Primary specialty

PharmacistTaxonomy code 183500000X

License

2018039375 Issued in MO

Practice address

1201 S Kirkwood Rd
Kirkwood, MO 63122-7224

Phone

(314) 835-9409

NPI assigned

Nov 10, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1407458987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 APPLEWOOD DR",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631222501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S KIRKWOOD RD",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631227224",
            "telephone_number": "314-835-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOECKMANN",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2018039375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriella Black, LPC
• M. Kathleen Blanchard, LPC
• Elizabeth Marie Bloomfield-Deal, M.A., P.L.P.C.
• Abigail Marie Blue, LPC
• Christine Anna Bodendieck, MA, LCSW, LPC
• Terrence William Bond, D.D.S.
• Barry D Brace, DMD
• Karen Brader
• Marsha Yost Bradford, M.A.
• Joseph Pohl Bradley, MD

• Pharmacist in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.