Active NPI
Amy Anh-Thu Blair, PHARM D
- Pharmacist
- Springfield, MO
National Provider Identifier
1790068617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2010023016
- Practice address
- 1500 E Sunshine St
Suite 148
Springfield, MO 65804 - Phone
- (417) 520-0607
- Fax
- (417) 520-0608
- NPI assigned
- Sep 27, 2011
- Last updated
- Dec 29, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2010023016 | MO | Primary |
Addresses
Primary practice location
1500 E Sunshine St
Suite 148
Springfield, MO 65804
Mailing address
2640 W Westchester CT
Springfield, MO 65810
Phone (417) 520-0607
Other names 1
- Amy Anh-Thu Tran
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 |
|---|---|---|---|
| 2010023016 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1500 E Sunshine St
Ste 148
Springfield, MO 65804
Phone (417) 520-0607
Organizations & group practices 3
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": "1317081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703808000000",
"number": "1790068617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2640 W WESTCHESTER CT",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "65810",
"telephone_number": "417-520-0607",
"fax_number": "417-520-0608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E SUNSHINE ST",
"address_2": "SUITE 148",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "65804",
"telephone_number": "417-520-0607",
"fax_number": "417-520-0608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAIR",
"first_name": "AMY",
"middle_name": "ANH-THU",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-27",
"last_updated": "2023-12-29",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2010023016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "TRAN",
"middle_name": "ANH-THU",
"credential": "PHARM D",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.