Individual provider Active NPI

Brad Einerson

  • Pharmacist
  • Osage Beach, MO
National Provider Identifier
1467722983
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2024023164 Issued in MO
Practice address
929 Highway D
Osage Beach, MO 65065-3169
Phone
(573) 302-8383
NPI assigned
Jan 2, 2012
Last updated
Jun 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS47213 FL
Pharmacist 183500000X 2024023164 MO Primary

Addresses

Primary practice location

929 Highway D
Osage Beach, MO 65065-3169

Mailing address

32 Good Oak Dr
Lake Ozark, MO 65049-6785
Phone (813) 693-0364

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

LicenseStateTypeSpecialty
PS47213FLMDPharmacist
2024023164MOMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1325462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1467722983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 GOOD OAK DR",
            "city": "LAKE OZARK",
            "state": "MO",
            "postal_code": "650496785",
            "telephone_number": "813-693-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 HIGHWAY D",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653169",
            "telephone_number": "573-302-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EINERSON",
        "first_name": "BRAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-02",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS47213",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2024023164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osage Beach, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.

Verify at the official NPI Registry.