Individual provider Active NPI

Marcia Diane Buescher

  • Pharmacist
  • Sikeston, MO
National Provider Identifier
1558849299
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
040578 Issued in MO
Practice address
1303 S Main St
Sikeston, MO 63801-9360
Phone
(573) 471-6775
NPI assigned
Aug 3, 2018
Last updated
Aug 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 040578 MO Primary

Addresses

Primary practice location

1303 S Main St
Sikeston, MO 63801-9360

Mailing address

154 Tranquility TRL
Jackson, MO 63755-8600
Phone (573) 243-6659

Other practice location 1

1701 Lacey St
Cape Girardeau, MO 63701-5230
Phone (573) 334-4822 ext. 5422

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
040578MOMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1558849299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 TRANQUILITY TRL",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637558600",
            "telephone_number": "573-243-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 S MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638019360",
            "telephone_number": "573-471-6775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Lacey St",
            "address_purpose": "LOCATION",
            "city": "Cape Girardeau",
            "state": "MO",
            "postal_code": "637015230",
            "country_code": "US",
            "telephone_number": "573-334-4822 x5422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUESCHER",
        "first_name": "MARCIA",
        "middle_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "040578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sikeston, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.