Vickie Lynn Abbott, RPH
Individual provider Active NPI Pharmacist · Independence, MO
NPI 1649545971 · NPPES record last updated Apr 22, 2020
Key facts
- NPI
- 1649545971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 043744 (MO)
- Practice address
- 19040 E Valley View Pkwy
Independence, MO 64055-7004 - Phone
- (816) 200-2002
- Fax
- (816) 200-2021
- NPI assigned
- Mar 20, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-13560 | KS | MD | Pharmacist |
| 043744 | MO | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-13560 | KS | |
| Pharmacist | 183500000X | 043744 | MO | Yes |
Addresses
Primary practice location
19040 E Valley View Pkwy
Independence, MO 64055-7004
Mailing address
12221 Blue Valley Pkwy
Overland Park, KS 66213-2640
Phone (913) 217-2052
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.