Provider Demographics
NPI:1386246304
Name:ONEY, CHRISTY RENEE (PHARMD)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:RENEE
Last Name:ONEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4279 E EASTMOOR ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65809-2905
Mailing Address - Country:US
Mailing Address - Phone:417-818-9110
Mailing Address - Fax:
Practice Address - Street 1:3720 E SUNSHINE ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65809-2849
Practice Address - Country:US
Practice Address - Phone:417-576-9359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-13
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2003018307183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2003018307OtherSTATE LICENSE