Active NPI
Vickie Lynn Abbott, RPH
- Pharmacist
- Independence, MO
National Provider Identifier
1649545971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 043744
- Practice address
- 19040 E Valley View Pkwy
Independence, MO 64055-7004 - Phone
- (816) 200-2002
- Fax
- (816) 200-2021
- NPI assigned
- Mar 20, 2012
- Last updated
- Apr 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-13560 | KS | |
| Pharmacist | 183500000X | 043744 | MO | Primary |
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
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-13560 | KS | MD | Pharmacist |
| 043744 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587513600000",
"number": "1649545971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12221 BLUE VALLEY PKWY",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662132640",
"telephone_number": "913-217-2052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19040 E VALLEY VIEW PKWY",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640557004",
"telephone_number": "816-200-2002",
"fax_number": "816-200-2021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABBOTT",
"first_name": "VICKIE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-20",
"last_updated": "2020-04-22",
"certification_date": "2020-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-13560",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "043744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.