Active NPI
Ross Merideth, PHARM D
- Pharmacist
- Sikeston, MO
National Provider Identifier
1801201058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2011026601
- Practice address
- 808 Hunter Ave
Ste. 1a
Sikeston, MO 63801-2248 - Phone
- (573) 475-1900
- Fax
- (573) 472-1814
- NPI assigned
- Jun 26, 2014
- Sex
- Male
- Sole proprietor
- No
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 | 183500000X | 2011026601 | MO | Primary |
| Pharmacotherapy Pharmacist | 1835P1200X | 2011026601 | MO |
Addresses
Primary practice location
808 Hunter Ave
Ste. 1a
Sikeston, MO 63801-2248
Mailing address
808 Hunter Ave
Ste. 1a
Sikeston, MO 63801-2248
Phone (573) 475-1900
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 |
|---|---|---|---|
| 2011026601 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B Y Enterprises Inc | Past | Accepting new patients | |
| B Y Enterprises Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Lees Summit, MO
- NPI 1174261416
-
- Community/Retail Pharmacy
- Sikeston, MO
- NPI 1306156963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403740800000",
"number": "1801201058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 HUNTER AVE",
"address_2": "STE. 1A",
"city": "SIKESTON",
"state": "MO",
"postal_code": "638012248",
"telephone_number": "573-475-1900",
"fax_number": "573-472-1814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 HUNTER AVE",
"address_2": "STE. 1A",
"city": "SIKESTON",
"state": "MO",
"postal_code": "638012248",
"telephone_number": "573-475-1900",
"fax_number": "573-472-1814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERIDETH",
"first_name": "ROSS",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-26",
"last_updated": "2014-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2011026601",
"primary": true
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "MO",
"license": "2011026601",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sikeston, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.