Active NPI
Amy Susan Boyd, RPH
- Pharmacist
- Scott City, MO
National Provider Identifier
1780214619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2017008176
- Practice address
- 2220 Main St
Scott City, MO 63780-1329 - Phone
- (573) 264-2450
- NPI assigned
- Jan 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 051288334 | IL | |
| Pharmacist | 183500000X | 2017008176 | MO | Primary |
Addresses
Primary practice location
2220 Main St
Scott City, MO 63780-1329
Mailing address
2220 Main St
Scott City, MO 63780-1329
Phone (573) 264-2450
Other practice location 1
465 S Mount Auburn Rd
Cape Girardeau, MO 63703-4937
Phone (573) 651-5250
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017008176 | MO | MD | Pharmacist |
| 051288334 | IL | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cape Pharmacy LLC | Current | Accepting new patients | |
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients | |
| Kroger Limited Partnership I | Past | Accepting new patients | |
| Cape Pharmacy, LLC | Past | Accepting new patients | |
| Kroger Limited Partnership I | Past | Accepting new patients | |
| Missouri CVS Pharmacy LLC | Past | Accepting new patients |
Locations
2220 Main St
Scott City, MO 63780
Phone (573) 264-2450
Organizations & group practices 6
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.
-
- Long Term Care Pharmacy
- Scott City, MO
- NPI 1215632294
-
- Community/Retail Pharmacy
- Scott City, MO
- NPI 1396726246
-
- Pharmacy
- Saint Louis, MO
- NPI 1073361952
-
- Community/Retail Pharmacy
- Newport, KY
- NPI 1104791078
-
- Community/Retail Pharmacy
- Anna, IL
- NPI 1407880214
-
- Pharmacy
- Winston Salem, NC
- NPI 1699797258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702857600000",
"number": "1780214619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2220 MAIN ST",
"city": "SCOTT CITY",
"state": "MO",
"postal_code": "637801329",
"telephone_number": "573-264-2450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2220 MAIN ST",
"city": "SCOTT CITY",
"state": "MO",
"postal_code": "637801329",
"telephone_number": "573-264-2450"
}
],
"practiceLocations": [
{
"address_1": "465 S Mount Auburn Rd",
"address_purpose": "LOCATION",
"city": "Cape Girardeau",
"state": "MO",
"postal_code": "637034937",
"country_code": "US",
"telephone_number": "573-651-5250",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOYD",
"first_name": "AMY",
"middle_name": "SUSAN",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-20",
"last_updated": "2023-12-18",
"certification_date": "2023-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "IL",
"license": "051288334",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2017008176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scott City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.