Active NPI
Tracy Lynn Layman, PHARM.D.
- Pharmacist
- Carthage, MO
National Provider Identifier
1487705927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2001023401
- Practice address
- 1515 Hazel St
Suite 102
Carthage, MO 64836-2850 - Phone
- (417) 358-4840
- Fax
- (417) 358-8591
- NPI assigned
- Jan 12, 2007
- 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 | 2001023401 | MO | Primary |
Addresses
Primary practice location
1515 Hazel St
Suite 102
Carthage, MO 64836-2850
Mailing address
1515 Hazel St
Suite 102
Carthage, MO 64836-2850
Phone (417) 358-4840
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001023401 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carthage Pharmacy Services Inc | 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
- Mount Vernon, MO
- NPI 1063513398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487705927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 HAZEL ST",
"address_2": "SUITE 102",
"city": "CARTHAGE",
"state": "MO",
"postal_code": "648362850",
"telephone_number": "417-358-4840",
"fax_number": "417-358-8591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 HAZEL ST",
"address_2": "SUITE 102",
"city": "CARTHAGE",
"state": "MO",
"postal_code": "648362850",
"telephone_number": "417-358-4840",
"fax_number": "417-358-8591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAYMAN",
"first_name": "TRACY",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2001023401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carthage, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.