Individual provider Active NPI

Dadrion Annette Gaston, R.PH

  • Pharmacist
  • Neosho, MO
National Provider Identifier
1821613498
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2005009704 Issued in MO
Practice address
3200 Lusk Dr
Neosho, MO 64850-2028
Phone
(417) 451-1177
Fax
(417) 451-9620
NPI assigned
Jun 10, 2020
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11849 OK
Pharmacist 183500000X PD09905 AR
Pharmacist 183500000X 2005009704 MO Primary

Addresses

Primary practice location

3200 Lusk Dr
Neosho, MO 64850-2028

Mailing address

17201 Scott Cemetery Rd
Garfield, AR 72732-9481
Phone (479) 640-5153

Other practice location 1

1401 Old Exeter Rd
Cassville, MO 65625-9415
Phone (417) 847-3180

Other names 1

  • Dadrion Annette Brassfield Former name

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

LicenseStateTypeSpecialty
11849OKMDMental Health Counselor
PD09905ARMDPharmacist
2005009704MOMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1821613498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17201 SCOTT CEMETERY RD",
            "city": "GARFIELD",
            "state": "AR",
            "postal_code": "727329481",
            "telephone_number": "479-640-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 LUSK DR",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648502028",
            "telephone_number": "417-451-1177",
            "fax_number": "417-451-9620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Old Exeter Rd",
            "address_purpose": "LOCATION",
            "city": "Cassville",
            "state": "MO",
            "postal_code": "656259415",
            "country_code": "US",
            "telephone_number": "417-847-3180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GASTON",
        "first_name": "DADRION",
        "middle_name": "ANNETTE",
        "name_prefix": "Mrs.",
        "credential": "R.PH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "11849",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD09905",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2005009704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DADRION",
            "last_name": "BRASSFIELD",
            "middle_name": "ANNETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Neosho, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.