Active NPI
Gail Dietmeyer, PHARMD
- Pharmacist
- Springfield, MO
National Provider Identifier
1952713232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2022021919
- Practice address
- 1000 E Primrose St
Springfield, MO 65807-5154 - Phone
- (417) 269-5584
- NPI assigned
- May 21, 2014
- Last updated
- Sep 20, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S016606 | AZ | |
| Pharmacist | 183500000X | 2022021919 | MO | Primary |
Addresses
Primary practice location
1000 E Primrose St
Springfield, MO 65807-5154
Mailing address
5821 E Jacaranda St
Mesa, AZ 85205-3588
Phone (480) 760-1324
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 |
|---|---|---|---|
| S016606 | AZ | MD | Pharmacist |
| 2022021919 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona CVS Stores LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1952713232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5821 E JACARANDA ST",
"city": "MESA",
"state": "AZ",
"postal_code": "852053588",
"telephone_number": "480-760-1324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E PRIMROSE ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075154",
"telephone_number": "417-269-5584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIETMEYER",
"first_name": "GAIL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-21",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S016606",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2022021919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.