Charles Davin Vaughn, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

043634 Issued in MO

Practice address

2017 S Garrison Ave
Carthage, MO 64836-3613

Phone

(417) 358-4840

Fax

(417) 358-8591

NPI assigned

Dec 3, 2013

Sex

Male

Sole proprietor

Yes

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

Registered Pharmacist

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.

• Carthage Pharmacy Services Inc

  • Pharmacy
  • Mount Vernon, MO
  • NPI 1063513398
  NPD (past) Authorized official
• Martin Pharmacy Services, LLC

  • Community/Retail Pharmacy
  • Carthage, MO
  • NPI 1285728931
  NPD (past)

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1770914632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 S GARRISON AVE",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648363613",
            "telephone_number": "417-358-4840",
            "fax_number": "417-358-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 S GARRISON AVE",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648363613",
            "telephone_number": "417-358-4840",
            "fax_number": "417-358-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "CHARLES",
        "middle_name": "DAVIN",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-03",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "043634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Park Triplett, MD
• Kurt Ummel, PHARM D
• Unbound Horizon Outpatient Service LLC
• Delores A. Vandergrift, FNP
• Meghan Lynn Vanslyke, RD
• Johnny L Venter, DO
• Vitas Laboratory LLC
• Demi Waggoner
• Kimberly D Wagner, PA-C
• Chad Eric Wagoner, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.