Active NPI
Traci Yvonne Dansberry, PHARM.D., RPH
- Pharmacist
- Dardenne Prairie, MO
National Provider Identifier
1861512238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 045213
- Practice address
- 7909 Hwy N
Dardenne Prairie, MO 63368 - Phone
- (636) 561-8450
- Fax
- (636) 561-8455
- NPI assigned
- Mar 30, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 045213 | MO | Primary |
Addresses
Primary practice location
7909 Hwy N
Dardenne Prairie, MO 63368
Mailing address
4534 Cambrook Dr
Saint Charles, MO 63304-8714
Phone (636) 477-1989
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, Registered Pharmacist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861512238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4534 CAMBROOK DR",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633048714",
"telephone_number": "636-477-1989",
"fax_number": "636-447-4942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7909 HWY N",
"city": "DARDENNE PRAIRIE",
"state": "MO",
"postal_code": "63368",
"telephone_number": "636-561-8450",
"fax_number": "636-561-8455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANSBERRY",
"first_name": "TRACI",
"middle_name": "YVONNE",
"credential": "PHARM.D., RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "045213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dardenne Prairie, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.