Active NPI
Jessica Bequette, PHARMD.
- Pharmacist
- Farmington, MO
National Provider Identifier
1609528439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2021044651
- Practice address
- 600 W Karsch Blvd
Farmington, MO 63640-3342 - Phone
- (573) 747-1591
- NPI assigned
- Jan 23, 2022
- Last updated
- Jan 23, 2022
- 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 | 2021044651 | MO | Primary |
Addresses
Primary practice location
600 W Karsch Blvd
Farmington, MO 63640-3342
Mailing address
1581 Notre Dame Dr
Bonne Terre, MO 63628-8807
Phone (573) 747-6849
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 |
|---|---|---|---|
| 2021044651 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642896000000",
"number": "1609528439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1581 NOTRE DAME DR",
"city": "BONNE TERRE",
"state": "MO",
"postal_code": "636288807",
"telephone_number": "573-747-6849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W KARSCH BLVD",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636403342",
"telephone_number": "573-747-1591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEQUETTE",
"first_name": "JESSICA",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-23",
"last_updated": "2022-01-23",
"certification_date": "2022-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2021044651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.