Active NPI
Amy Lynne Garner, RPH
- Pharmacist
- Rolla, MO
National Provider Identifier
1982355657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2002022645
- Practice address
- 1605 Martin Springs Dr
Rolla, MO 65401-2982 - Phone
- (573) 458-6432
- NPI assigned
- Jan 14, 2022
- Sex
- Female
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Sullivan, MO
- NPI 1780601005
-
- Pharmacy
- Apollo Beach, FL
- NPI 1437027208
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002022645 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past | Accepting new patients | |
| Wal-Mart Stores East LP | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2002022645 | MO | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1605 Martin Springs Dr
Rolla, MO 65401-2982
Mailing address
250 Chickadee LN
Sullivan, MO 63080-2850
Phone (573) 308-8052
Other practice location 1
350 Park Ridge Rd
Sullivan, MO 63080-3334
Phone (573) 468-5121
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amy.garner@mercy.net | Direct |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 14, 2022.
{
"created_epoch": "1642118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642118400000",
"number": "1982355657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 CHICKADEE LN",
"city": "SULLIVAN",
"state": "MO",
"postal_code": "630802850",
"telephone_number": "573-308-8052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 MARTIN SPRINGS DR",
"city": "ROLLA",
"state": "MO",
"postal_code": "654012982",
"telephone_number": "573-458-6432"
}
],
"practiceLocations": [
{
"address_1": "350 Park Ridge Rd",
"address_purpose": "LOCATION",
"city": "Sullivan",
"state": "MO",
"postal_code": "630803334",
"country_code": "US",
"telephone_number": "573-468-5121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARNER",
"first_name": "AMY",
"middle_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-14",
"last_updated": "2022-01-14",
"certification_date": "2022-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2002022645",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amy.garner@mercy.net",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1605 Martin Springs Dr",
"city": "Rolla",
"state": "MO",
"country_code": "US",
"postal_code": "654012982",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rolla, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.