Angelou Song

Primary specialty

PharmacistTaxonomy code 183500000X

License

2021031845 Issued in MO

Practice address

1600 E Broadway
Columbia, MO 65201-5897

Phone

(573) 815-8000

NPI assigned

Oct 31, 2021

Last updated

Mar 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1635638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1518622059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BROADWAY VILLAGE DR APT G",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018645",
            "telephone_number": "573-303-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E BROADWAY",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015897",
            "telephone_number": "573-815-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1506 E Broadway",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652018078",
            "country_code": "US",
            "telephone_number": "573-303-8863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652015275",
            "country_code": "US",
            "telephone_number": "573-814-6000 x53536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SONG",
        "first_name": "ANGELOU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-31",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2021031845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Laurel Sommer, MD
• Fnu Sonam, MD
• Timothy R. Soncasie, M.D.
• Divya Sood, OTD,OTR/L
• A'Kaysion Soper
• Stephanie Renee Sopko, DO
• David Cole Sorley, M.D.
• Bryce M Sorrier

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.