Individual provider Active NPI

Austin Randal Lindsay, PHARM.D

  • Pharmacy
  • Gladstone, MO
National Provider Identifier
1972108892
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
2019035642 Issued in MO
Practice address
7107 N Oak Trfy
Gladstone, MO 64118-2514
Phone
(816) 436-3200
Fax
(816) 468-6269
NPI assigned
Nov 30, 2020
Last updated
May 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 2019035642 MO Primary

Addresses

Primary practice location

7107 N Oak Trfy
Gladstone, MO 64118-2514

Mailing address

7107 N Oak Trfy
Gladstone, MO 64118-2514
Phone (816) 436-3200

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

LicenseStateTypeSpecialty
2019035642MOMDPharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Missouri CVS Pharmacy LLC Pharmacy PastSince May 14, 2023 Accepting new patients
Missouri CVS Pharmacy, L.L.C. Pharmacy PastSince May 14, 2023 Accepting new patients

Organizations & group practices 2

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": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1972108892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7107 N OAK TRFY",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641182514",
            "telephone_number": "816-436-3200",
            "fax_number": "816-468-6269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7107 N OAK TRFY",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641182514",
            "telephone_number": "816-436-3200",
            "fax_number": "816-468-6269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSAY",
        "first_name": "AUSTIN",
        "middle_name": "RANDAL",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-30",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MO",
            "license": "2019035642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladstone, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.

Verify at the official NPI Registry.