Active NPI
Amanda Morelock
- Pharmacist
- Republic, MO
National Provider Identifier
1962065029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2019022828
- Practice address
- 1173 E Hines St
Republic, MO 65738-1277 - Phone
- (417) 735-0055
- NPI assigned
- Apr 15, 2019
- 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 | 2019022828 | MO | Primary |
Addresses
Primary practice location
1173 E Hines St
Republic, MO 65738-1277
Mailing address
1173 E Hines St
Republic, MO 65738-1277
Phone (417) 735-0055
Other practice location 1
4062 W Republic Rd
Battlefield, MO 65619-7108
Phone (417) 730-1456
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019022828 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561420800000",
"number": "1962065029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1173 E HINES ST",
"city": "REPUBLIC",
"state": "MO",
"postal_code": "657381277",
"telephone_number": "417-735-0055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1173 E HINES ST",
"city": "REPUBLIC",
"state": "MO",
"postal_code": "657381277",
"telephone_number": "417-735-0055"
}
],
"practiceLocations": [
{
"address_1": "4062 W Republic Rd",
"address_purpose": "LOCATION",
"city": "Battlefield",
"state": "MO",
"postal_code": "656197108",
"country_code": "US",
"telephone_number": "417-730-1456",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORELOCK",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-15",
"last_updated": "2019-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2019022828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Republic, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.