Vaughn Koch
Pharmacist in Springfield, MO. Individual provider (NPI-1).
NPI number1245014653
StatusActive
Last updated in NPPESAug 24, 2023
Details
- NPI
- 1245014653
- Entity type
- Individual (NPI-1)
- Name
- Vaughn Koch
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 24, 2023
- Certification date
- Aug 24, 2023
- Last updated
- Aug 24, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 2023034541 | MO | Yes |
Practice location
2715 E Battlefield StSpringfield, MO 65804-3981
Phone 417-888-0298
Mailing address
2715 E Battlefield StSpringfield, MO 65804-3981
Phone 417-888-0298
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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