Active NPI
Abigail Shannon Overby, PHARMD
- Pharmacist
- Saint Louis, MO
National Provider Identifier
1619519451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2019024421
- Practice address
- 425 S Euclid Ave
Saint Louis, MO 63110-1005 - Phone
- (314) 362-5339
- NPI assigned
- Oct 14, 2019
- 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 | 2019024421 | MO | Primary |
Addresses
Primary practice location
425 S Euclid Ave
Saint Louis, MO 63110-1005
Mailing address
4833 Mattis Rd
Saint Louis, MO 63128-2803
Phone (314) 560-8695
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 |
|---|---|---|---|
| 2019024421 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tomlyn, 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734652800000",
"number": "1619519451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4833 MATTIS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282803",
"telephone_number": "314-560-8695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 S EUCLID AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101005",
"telephone_number": "314-362-5339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERBY",
"first_name": "ABIGAIL",
"middle_name": "SHANNON",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-14",
"last_updated": "2024-12-20",
"certification_date": "2024-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2019024421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.