Individual provider Active NPI

Megan Raelene Dobyns

  • Pharmacy Technician
  • Willow Springs, MO
National Provider Identifier
1639898562
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
2021002835 Issued in MO
Practice address
110 Bear Dr Ste 4
Willow Springs, MO 65793-7103
Phone
(417) 469-9009
Fax
(417) 469-5005
NPI assigned
Aug 24, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 2021002835 MO Primary

Addresses

Primary practice location

110 Bear Dr Ste 4
Willow Springs, MO 65793-7103

Mailing address

110 Bear Dr Ste 4
Willow Springs, MO 65793-7103
Phone (417) 469-9009

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
2021002835MOMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Mike Stuart Enterprises, Inc. CurrentSince Jun 23, 2024 Accepting new patients

Locations

110 Bear Dr
Ste 4
Willow Springs, MO 65793
Phone (417) 469-9009

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": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1639898562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BEAR DR STE 4",
            "city": "WILLOW SPRINGS",
            "state": "MO",
            "postal_code": "657937103",
            "telephone_number": "417-469-9009",
            "fax_number": "417-469-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BEAR DR STE 4",
            "city": "WILLOW SPRINGS",
            "state": "MO",
            "postal_code": "657937103",
            "telephone_number": "417-469-9009",
            "fax_number": "417-469-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBYNS",
        "first_name": "MEGAN",
        "middle_name": "RAELENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MO",
            "license": "2021002835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.