Active NPI
Meagan Renee Newberry
- Pharmacist
- Mountain Grove, MO
National Provider Identifier
1417811829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2019046007
- Practice address
- 1600 N Main St
Mountain Grove, MO 65711-1010 - Phone
- (417) 926-9655
- NPI assigned
- Dec 10, 2025
- 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 | 2019046007 | MO | Primary |
Addresses
Primary practice location
1600 N Main St
Mountain Grove, MO 65711-1010
Mailing address
121 E Harker St
Mountain Grove, MO 65711-2222
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019046007 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Pharmacy of Mountain Grove LLC | Past | Accepting new patients |
Organizations & group practices 1
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
- Mountain Grove, MO
- NPI 1851426852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1417811829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 E HARKER ST",
"city": "MOUNTAIN GROVE",
"state": "MO",
"postal_code": "657112222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 N MAIN ST",
"city": "MOUNTAIN GROVE",
"state": "MO",
"postal_code": "657111010",
"telephone_number": "417-926-9655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWBERRY",
"first_name": "MEAGAN",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-10",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2019046007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountain Grove, MO
- Mountain Grove Medical and Laser Center Inc
- Mountain Grove Pharmacy Inc (Mountain Grove Pharmacy)
- Mountain Grove R-III School District
- Ashley Myers, LMSW
- Laney Ness
- Samuel Aaron Newton, MD
- Alexa Noel Nielson
- Ozark Family Health Care Inc
- Ozarks Medical Center (Ozarks Healthcare Mountain Grove)
- Ozarks Medical Center (Ozarks Healthcare Pharmacy Mountain Grove)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.