Alicyn Grace Magruder, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

2016021595 Issued in MO

Practice address

214 N Grand St
Clarence, MO 63437-1604

Phone

(660) 699-2432

Fax

(660) 699-3873

NPI assigned

Sep 20, 2016

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

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.

• Johnston Drug Inc

  • Community/Retail Pharmacy
  • Clarence, MO
  • NPI 1962403592
  NPD (past)

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1730637604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9079 SHELBY 529",
            "city": "CLARENCE",
            "state": "MO",
            "postal_code": "634373520",
            "telephone_number": "660-699-2432",
            "fax_number": "660-699-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N GRAND ST",
            "city": "CLARENCE",
            "state": "MO",
            "postal_code": "634371604",
            "telephone_number": "660-699-2432",
            "fax_number": "660-699-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGRUDER",
        "first_name": "ALICYN",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2016021595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Creative Enterprises of Clarence
• Johnston Drug Inc
• Bryce William Johnston, DC
• James Johnston, PHARM D
• Dwight Moody Jones Jr., NP-BC
• Madison Lynn Moody
• N E Mo Closed Door Pharmacy L L C
• Nemo Chiropractic, LLC
• Peoples Shaw LLC
• Lynn Perrigo, PHARMD

• Pharmacist in Clarence, MO
• Providers in Clarence, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.