What is Dylan Detlor's NPI number?

Dylan Detlor's National Provider Identifier (NPI) is 1912613514, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Dylan Detlor's specialty?

Dylan Detlor is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).

Where is Dylan Detlor located?

Dylan Detlor's practice location on file with NPPES is 2451 S Springfield Ave, Bolivar, MO 65613-9123.

What is Dylan Detlor's phone number?

The practice phone number listed in the NPPES registry for Dylan Detlor is (417) 326-5225.

Is Dylan Detlor's NPI active?

Yes — Dylan Detlor's NPI (1912613514) is active in the NPPES registry as of the last update on 2023-01-26.

IndividualActive

Dylan Detlor, PHARMD

NPI 1912613514 · Pharmacist · Bolivar, MO

Dylan Detlor, PHARMD is a Pharmacist provider in Bolivar, MO (NPI 1912613514).

Provider details

NPI number: 1912613514
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: PHARMD
Sex: Male
Sole proprietor: No
License: 2020018332 (MO)

Specialties & taxonomies

PharmacistPrimary183500000XLicense 2020018332 (MO)
Pharmacy Service Providers

Profile Score

Established profile(59/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
3 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

2451 S Springfield Ave

Bolivar, MO 65613-9123

Phone: (417) 326-5225

Street-level locationGet directions

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Mailing address