Healthcare Provider Details

I. General information

NPI: 1215540653
Provider Name (Legal Business Name): KRISTEN ROSE TOONE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2020
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 1359
AVA MO
65608-1359
US

IV. Provider business mailing address

279 N EASTGATE AVE
SPRINGFIELD MO
65802-2881
US

V. Phone/Fax

Practice location:
  • Phone: 417-683-5739
  • Fax:
Mailing address:
  • Phone: 417-512-8949
  • Fax: 417-512-8940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number2018027964
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: