Katie Anne Luckfield, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

2015022712 Issued in MO

Practice address

916 Springfield Rd Ste F
Ava, MO 65608-5477

Phone

(417) 683-9550

Fax

(417) 250-8002

NPI assigned

Nov 3, 2020

Last updated

Dec 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Katie Anne Wagner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ava RX LLC

  • Community/Retail Pharmacy
  • Ava, MO
  • NPI 1649930868
  NPD Authorized official

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1790386290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 638",
            "city": "SPARTA",
            "state": "MO",
            "postal_code": "657530638",
            "telephone_number": "417-813-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 SPRINGFIELD RD STE F",
            "city": "AVA",
            "state": "MO",
            "postal_code": "656085477",
            "telephone_number": "417-683-9550",
            "fax_number": "417-250-8002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Branson Hills Pkwy",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656169942",
            "country_code": "US",
            "telephone_number": "417-334-2804",
            "fax_number": "417-334-2856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCKFIELD",
        "first_name": "KATIE",
        "middle_name": "ANNE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2015022712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "WAGNER",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ivy Lenarz, MSW, LCSW
• Brian Thomas Lenihan, PA-C
• Lester E Cox Medical Centers (CoxHealth Center Ava)
• Lester E. Cox Medical Centers (Ava Family Health Care)
• Vanessa Kay Loftis, FNP
• McKenna Glyn Madche, FNP
• Danny Maggard
• Kristen Maggard
• Mansfield Clinic, Inc. (Prime Care of Ava)
• Scott C. Mason, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.