Abby Rose Bohnsack
Individual provider Active NPI Pharmacist · Marble Hill, MO
NPI 1659983237 · NPPES record last updated May 8, 2025
Key facts
- NPI
- 1659983237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2019032440 (MO)
- Practice address
- 106 North First Street
Marble Hill, MO 63764 - Phone
- (573) 238-4177
- Fax
- (573) 238-4986
- NPI assigned
- Aug 17, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019032440 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twin City Pharmacy, Inc | Current |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients | |
| John S RX LLLP | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2019032440 | MO | Yes |
Addresses
Primary practice location
106 North First Street
Marble Hill, MO 63764
Mailing address
PO Box 739
Marble Hill, MO 63764-0739
Phone (573) 238-4177
Other providers in Marble Hill, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2025. 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.