Active NPI
Abby Rose Bohnsack
- Pharmacist
- Marble Hill, MO
National Provider Identifier
1659983237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2019032440
- Practice address
- 106 North First Street
Marble Hill, MO 63764 - Phone
- (573) 238-4177
- Fax
- (573) 238-4986
- NPI assigned
- Aug 17, 2020
- Last updated
- May 8, 2025
- 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 | 2019032440 | MO | Primary |
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2019032440 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twin City Pharmacy, Inc | Current | Accepting new patients | |
| John S RX LLLP | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Marble Hill, MO
- NPI 1568575033
-
- Long Term Care Pharmacy
- Cape Girardeau, MO
- NPI 1619927860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746662400000",
"number": "1659983237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 739",
"city": "MARBLE HILL",
"state": "MO",
"postal_code": "637640739",
"telephone_number": "573-238-4177",
"fax_number": "573-238-4986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 NORTH FIRST STREET",
"city": "MARBLE HILL",
"state": "MO",
"postal_code": "63764",
"telephone_number": "573-238-4177",
"fax_number": "573-238-4986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOHNSACK",
"first_name": "ABBY",
"middle_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-17",
"last_updated": "2025-05-08",
"certification_date": "2025-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2019032440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marble Hill, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.