Active NPI
Madolyn Brooke Neill, PHARMD
- Pharmacist
- Ozark, MO
National Provider Identifier
1780318410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2022025769
- Practice address
- 5540 N Farmer Branch Rd
Ozark, MO 65721-5315 - Phone
- (417) 485-8555
- NPI assigned
- Jul 9, 2022
- 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 | 2022025769 | MO | Primary |
Addresses
Primary practice location
5540 N Farmer Branch Rd
Ozark, MO 65721-5315
Mailing address
2474 Cedar Creek Dr
Springfield, MO 65803-7694
Phone (816) 225-2788
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022025769 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KPBN Apothecary LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1780318410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2474 CEDAR CREEK DR",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658037694",
"telephone_number": "816-225-2788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5540 N FARMER BRANCH RD",
"city": "OZARK",
"state": "MO",
"postal_code": "657215315",
"telephone_number": "417-485-8555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEILL",
"first_name": "MADOLYN",
"middle_name": "BROOKE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-09",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2022025769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ozark, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.