Active NPI
Lacy Nicole Epperson, PHARMD
- Pharmacist
- Carthage, MO
National Provider Identifier
1619647799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2020018341
- Practice address
- 1601 Missouri Ave
Carthage, MO 64836-3060 - Phone
- (417) 359-8185
- Fax
- (417) 359-8276
- NPI assigned
- Sep 20, 2021
- 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 | 2020018341 | MO | Primary |
Addresses
Primary practice location
1601 Missouri Ave
Carthage, MO 64836-3060
Mailing address
1601 Missouri Ave
Carthage, MO 64836-3060
Phone (417) 359-8185
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | rx1222@expressrx.net | Direct |
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 |
|---|---|---|---|
| 2020018341 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Tree Medical Neosho | Current | 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.
-
- Family Medicine Physician
- Neosho, MO
- NPI 1922832666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632096000000",
"number": "1619647799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 MISSOURI AVE",
"city": "CARTHAGE",
"state": "MO",
"postal_code": "648363060",
"telephone_number": "417-359-8185",
"fax_number": "417-359-8276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 MISSOURI AVE",
"city": "CARTHAGE",
"state": "MO",
"postal_code": "648363060",
"telephone_number": "417-359-8185",
"fax_number": "417-359-8276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPPERSON",
"first_name": "LACY",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-20",
"last_updated": "2021-09-20",
"certification_date": "2021-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2020018341",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "rx1222@expressrx.net",
"affiliation": "N",
"endpointDescription": "Pharmacy's Protected Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email communication",
"address_1": "1601 Missouri Ave",
"city": "Carthage",
"state": "MO",
"country_code": "US",
"postal_code": "648363060",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.