MISSOURI LTC PHARMACY LLC (NPI# 1003327537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003327537 |
| Entity Type | Organization |
| Organization Name | MISSOURI LTC PHARMACY LLC |
| Practice Address |
6129 West Us Highway 60 Brookline MO 65619 |
| Mailing Address |
6129 W Us Highway 60 Brookline MO 65619-9441 |
| Practice Telephone | 4177085050 |
| Practice Fax Number | 4177085055 |
| Mailing Telephone | 4177805050 |
| Mailing Fax Number | 4177805055 |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2020-09-01 |
| Authorized Official Name | JANICE S CERIOTTI (DIRECTOR OF OPERAITONS) |
| Authorized Official Telephone | 3146904500 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | Y |
| Parent Organization Name | MISSOURI LTC PHARMACY LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835G0303X |
Pharmacist Specialization: Geriatric |
Pharmacy Service Providers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
2017040311 | MO | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134668445 | Missouri Ltc Pharmacy LLC | Pharmacy | 1617 Manufacturers Dr, Fenton, MO 63026-2838 | 2017-02-20 |
| Street Address |
6129 WEST US HIGHWAY 60 |
| City | BROOKLINE |
| State | MO |
| Zip Code | 65619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346467503 | Barbara Hicks, Msw, Lcsw | Social Worker | 5110 So Ashwood Ave, Battlefield, MO 65619 | 2007-04-19 |
| 1730481284 | Brady Lorenc | Social Worker | 3820 W Poppy Ln, Battlefield, MO 65619-5201 | 2010-12-03 |
| 1700342888 | Battlefield Pharmacy | Pharmacy | 4062 W Republic Rd, Battlefield, MO 65619-7108 | 2019-02-14 |
| 1720269715 | Leah Rehna Logan | Speech-Language Pathologist | 4042 W Sierra St, Battlefield, MO 65619-8246 | 2007-11-18 |
| 1861830192 | Eastre Ringon Anfone | Physical Therapist | 5252 S Honeysuckle Ln, Battlefield, MO 65619-8292 | 2013-06-09 |
| 1649518382 | Comc | Psychiatric Hospital | 5260 S Tanager Ave, Battlefield, MO 65619-9222 | 2013-01-30 |
| 1649319179 | John Wood | Counselor | 6372 S Farm Road 119, Battlefield, MO 65619-9389 | 2007-02-05 |
| 1356822910 | Journey Counseling Center | Counselor | 4747 S Gold Rd, Battlefield, MO 65619-9503 | 2018-08-22 |
| 1982219945 | Behavior Dad, LLC | Clinic/Center | 3509 W Moark, Battlefield, MO 65619-9616 | 2020-09-15 |
| 1235177361 | Paceline Anesthesia Service PC | Nurse Anesthetist, Certified Registered | 5333 S Cloverdale Ln, Battlefield, MO 65619-9691 | 2006-06-02 |
| Find all providers in zip 65619 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033534 | Good Graces, LLC | Pharmacy | 857 E Main Street, Ste 3 - 5, Willow Springs, MO 65793 | 2020-11-03 |
| 1780298406 | Healthdirect Institutional Pharmacy Services, Inc. | Pharmacy | 4083 N State Highway Nn, Ozark, MO 65721-7201 | 2020-09-01 |
| 1023620838 | Tipton Pharmacy | Pharmacy | 310 Us Highway 50 W, Tipton, MO 65081-8701 | 2020-08-21 |
| 1568095313 | Auburn Pharmacy, Inc. | Pharmacy | 1103 S 169 Hwy, Smithville, MO 64089 | 2020-02-20 |
| 1780229690 | Dalpoas Group Inc | Pharmacy | 4245 Forest Park Ave Ste B, Saint Louis, MO 63108-2810 | 2019-11-14 |
| 1053953109 | Summers Pharmacy of Slater, LLC | Pharmacy | 102 E Maple St, Slater, MO 65349-1539 | 2019-10-10 |
| 1316594328 | Legacy Drugstore LLC | Pharmacy | 13000 Veterans Memorial Pkwy Ste A, Wright City, MO 63390-1012 | 2019-08-23 |
| 1972158673 | Hils Pharmacy Salisbury LLC | Pharmacy | 501 E. 24 Hwy Ste A, Salisbury, MO 65281 | 2019-08-08 |
| 1700342888 | Battlefield Pharmacy | Pharmacy | 4062 W Republic Rd, Battlefield, MO 65619-7108 | 2019-02-14 |
| 1548733769 | Guardian Pharmacy of St. Louis, LLC | Pharmacy | 926 S Highway Dr, Fenton, MO 63026-2023 | 2019-01-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.