Active NPI
Trudi Ann Boyd
- Pharmacist
- Trenton, MO
National Provider Identifier
1770185266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2000164246
- Practice address
- 1617 E 9TH St
Trenton, MO 64683-2639 - Phone
- (660) 359-4955
- Fax
- (660) 359-5746
- NPI assigned
- Nov 10, 2020
- Last updated
- Nov 10, 2020
- 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 | 2000164246 | MO | Primary |
Addresses
Primary practice location
1617 E 9TH St
Trenton, MO 64683-2639
Mailing address
3601 E 28TH St
Trenton, MO 64683-3279
Phone (660) 635-1707
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 |
|---|---|---|---|
| 2000164246 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hy-Vee Inc | Past | Accepting new patients | |
| Hy-Vee Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1770185266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 E 28TH ST",
"city": "TRENTON",
"state": "MO",
"postal_code": "646833279",
"telephone_number": "660-635-1707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1617 E 9TH ST",
"city": "TRENTON",
"state": "MO",
"postal_code": "646832639",
"telephone_number": "660-359-4955",
"fax_number": "660-359-5746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "TRUDI",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-10",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2000164246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trenton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.