Rebecca Lynn Sandgren, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

044232 Issued in MO

Practice address

1102 N Massey Blvd
Nixa, MO 65714-7607

Phone

(417) 840-8288

NPI assigned

Nov 9, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1831791482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 S 14TH AVE",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657218720",
            "telephone_number": "417-840-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 N MASSEY BLVD",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657147607",
            "telephone_number": "417-840-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDGREN",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "044232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Kathryn Rostic, CRNA
• Max Saoloto Rowlands
• Andrea Rowley
• Carlee Rozell
• Emillia Marie Bratanov Sanders, PA-C
• Adrienne Sanford, OT
• Jennifer Savage
• Mandy Jolene Schlesselmann, PT, ATC
• Kathleen G. Schlueter, MS
• Katelyn Scott, PTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.