IndividualActive
Autumn Jaeger, PHARMD
NPI 1619585106 · Pharmacist · Rolla, MO
Provider details
- NPI number
- 1619585106
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- 2018031239 (MO)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1375 E 10th St Ste B
Rolla, MO 65401-3591
Phone: (573) 364-9616
Fax: (573) 341-3986
Street-level locationGet directions
Mailing address
1375 E 10th St Ste B
Rolla, MO 65401-3591
Registry dates
- Enumerated
- 2020-07-21
- Last updated
- 2020-07-21
- Certified
- 2020-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.