Cassie Lyn Maness, PHARM D

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

2019036894 Issued in MO

Practice address

1100 S Springfield Ave Ste a
Bolivar, MO 65613-2512

Phone

(417) 328-4700

Fax

(855) 662-4032

NPI assigned

Mar 29, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Citizens Memorial Hospital District

  dba CMH Senior Pharmacy

  • Long Term Care Pharmacy
  • Bolivar, MO
  • NPI 1639691959
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1710681119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BIG TREE TRL",
            "city": "BUFFALO",
            "state": "MO",
            "postal_code": "656224193",
            "telephone_number": "417-894-7770",
            "fax_number": "855-662-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S SPRINGFIELD AVE STE A",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656132512",
            "telephone_number": "417-328-4700",
            "fax_number": "855-662-4032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANESS",
        "first_name": "CASSIE",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MO",
            "license": "2019036894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Lutz, CD, CBE, CLC
• Joshua L Macken, PA-C
• Julia Magdici, FNP-C
• Thomas William Maggard, DPT
• Making a Difference Treatment Inc
• Kevin Wayne Marcum, LPC
• Linda M Marshall, PT
• Steven T. Marshall, D.D.S
• Jaime Marsolf, PHARM.D
• Allison Martin, OTR

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Bolivar, MO
• Providers in Bolivar, MO by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.