CARTHAGE PHARMACY SERVICES INC (NPI# 1063513398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063513398 |
| Entity Type | Organization |
| Organization Name | CARTHAGE PHARMACY SERVICES INC |
| Other Organization Name | HOMETOWN PHARMACY #4 |
| Practice Address |
606 E Mount Vernon Blvd Mount Vernon MO 65712-9100 |
| Practice Telephone | 4174662000 |
| Practice Fax Number | 4174662028 |
| Mailing Telephone | 4174662000 |
| Mailing Fax Number | 4174662028 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2015-11-17 |
| Authorized Official Name | CHARLES DAVIN VAUGHN (PRESIDENT/OWNER) |
| Authorized Official Telephone | 4174617777 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 2004011847 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 601917503 | 05 |
| Other Name | Type Code |
|---|---|
| Hometown Pharmacy #4 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285728931 | Carthage Pharmacy Services Inc | Pharmacy | 2017 S Garrison Ave, Carthage, MO 64836-3613 | 2006-10-03 |
| Street Address |
606 E MOUNT VERNON BLVD |
| City | MOUNT VERNON |
| State | MO |
| Zip Code | 65712-9100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386253805 | Kendra R White | Pharmacist | 606 E Mount Vernon Blvd, Mount Vernon, MO 65712-9100 | 2020-07-30 |
| 1134526072 | David Eden | Pharmacist | 606 E Mount Vernon Blvd, Mount Vernon, MO 65712-9100 | 2014-11-20 |
| 1245655349 | Brittney Conway | Pharmacist | 606 E Mount Vernon Blvd, Mount Vernon, MO 65712-9100 | 2014-02-26 |
| 1972864999 | Hometown Pharmacy | Pharmacy | 606 E Mount Vernon Blvd, Mount Vernon, MO 65712-9100 | 2012-06-06 |
| 1801945035 | Brandon Keith Barker | Pharmacist | 606 E Mount Vernon Blvd, Mount Vernon, MO 65712-9100 | 2007-01-09 |
| 1104900364 | Mt Vernon Hometown | Durable Medical Equipment & Medical Supplies | 606 E Mount Vernon Blvd, Mount Vernon, MO 65712-9100 | 2006-10-24 |
| 1295826279 | Gail M Vaughn | Pharmacist | 606 E Mount Vernon Blvd, Mount Vernon, MO 65712-9100 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063992527 | Regional Services | Nurse Practitioner | 400 Mo-174, Mt Vernon, MO 65712 | 2018-08-15 |
| 1295044303 | Jeffrey Paul Leclair | Physician Assistant | 1011 South East Street, Mt. Vernon, MO 65712 | 2010-10-07 |
| 1912174327 | Three Rivers Hospice Inc | Hospice Care, Community Based | 631 N Spring Park Blvd, Mt Vernon, MO 65712 | 2008-05-14 |
| 1821274929 | Hearing Crafters of America Inc | Hearing Instrument Specialist | 708 E Mt Vernon Blvd, Mt Vernon, MO 65712 | 2008-01-18 |
| 1609957885 | Mount Vernon Eyecare Associates, LLC | Optometrist | 104 S Hickory, Mount Vernon, MO 65712 | 2006-10-17 |
| 1982700423 | Ronald E. Price | Dentist | 1050 Hayward Dr., Mt Vernon, MO 65712 | 2006-09-15 |
| 1144279829 | Mary Elisabeth Aslin | Speech-Language Pathologist | 600 N. Main, Missouri Rehabilitation Center, Mount Vernon, MO 65712 | 2006-05-09 |
| 1912986332 | Robert Gordon Mcafee | Psychiatry & Neurology | 600 N Main, Mount Vernon, MO 65712 | 2006-01-13 |
| 1477856805 | Eric Snow | Physical Therapist | 1600 S Hickory St, Mount Vernon, MO 65712 | 2010-12-07 |
| 1477567030 | Ricky Lavaughn Kime | Internal Medicine | 600 N Main St, Va Outpatient Clinic, Mount Venon, MO 65712 | 2006-07-28 |
| Find all providers in zip 65712 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295299535 | 4th Ave Drug Store Inc | Pharmacy | 26 S 4th Ave, Mount Vernon, NY 10550-3105 | 2019-01-30 |
| 1730662271 | Medsbyme LLC | Pharmacy | 105 Stevens Ave Ste 604, Mount Vernon, NY 10550-2683 | 2018-09-11 |
| 1578087680 | Sak Drug Store Inc | Pharmacy | 16 S 4th Ave, Mount Vernon, NY 10550-3105 | 2017-07-31 |
| 1558725499 | South Fulton Pharmacy Inc | Pharmacy | 301 S Fulton Ave, Mount Vernon, NY 10553-1715 | 2016-04-06 |
| 1902270838 | Boutique Ltc Drugs Inc | Pharmacy | 531 Gramatan Ave, Mount Vernon, NY 10552-2103 | 2015-11-16 |
| 1992128045 | Health Help Inc | Pharmacy | 116 Progress Drive, Mount Vernon, KY 40456 | 2014-01-27 |
| 1720429046 | Nation Care Pharmacy Solutions Inc | Pharmacy | 79 Gramatan Ave, Mount Vernon, NY 10550-1360 | 2013-07-15 |
| 1932428612 | Cng Pharmacy Inc | Pharmacy | 64 Gramatan Ave, Mount Vernon, NY 10550-1306 | 2010-05-20 |
| 1700907268 | Good Health Inc | Pharmacy | 221 S 1st St, Mount Vernon, WA 98273-3802 | 2007-04-03 |
| 1033213095 | Gramatan Pharmacy Corp | Pharmacy | 120 Gramatan Ave, Mount Vernon, NY 10550-1206 | 2006-09-12 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 65712 |
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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.