MATT'S RX,LLC (NPI# 1073551495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073551495 |
| Entity Type | Organization |
| Organization Name | MATT'S RX,LLC |
| Other Organization Name | MATT'S MEDICINE STORE |
| Practice Address |
11200 1-2 E Us Highway 24 Independence MO 64054-1514 |
| Practice Telephone | 8168333636 |
| Practice Fax Number | 8168331071 |
| Mailing Telephone | 8168333636 |
| Mailing Fax Number | 8168331071 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2009-12-08 |
| Authorized Official Name | CHARLES MATTHEW MALLINSON (MEMBER) |
| Authorized Official Telephone | 8168333636 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
004747 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 602442402 | 05 | |
| MO | 622442408 | 05 |
| Other Name | Type Code |
|---|---|
| Matt's Medicine Store | Doing Business As Name - Organization |
| Street Address |
11200 1-2 E US HIGHWAY 24 |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64054-1514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891214839 | Sandra Sweigart | Licensed Practical Nurse | 1000 E 24th, Kansas, MO 64054 | 2017-09-11 |
| 1508011099 | James D. Smith Dds, L.L.C. | Dentist | 104 S. Sterling, Sugar Creek, MO 64054 | 2008-11-25 |
| 1598785974 | James D Smith | Dentist | 104 S Sterling Ave, Sugar Creek, MO 64054 | 2006-07-20 |
| 1235178690 | Active Care Chiropractic, Inc. | Chiropractor | 102 N Sterling Ave, Sugar Creek, MO 64054-1207 | 2006-06-04 |
| 1063822211 | Chere Hellenbrand | Emergency Medical Technician, Basic | 102 N Sterling Ave, Sugar Creek, MO 64054-1207 | 2014-04-28 |
| 1790082063 | Evin Ellen Pearsall | Chiropractor | 100 S Sterling Ave, Sugar Creek, MO 64054-1215 | 2011-02-22 |
| 1962000505 | Enrich Dental Sc Series LLC | Durable Medical Equipment & Medical Supplies | 104 S Sterling Ave, Sugar Creek, MO 64054-1215 | 2020-10-15 |
| 1467014365 | Ashton Leslie Richards | Dentist | 104 S Sterling Ave, Sugar Creek, MO 64054-1215 | 2019-07-01 |
| 1497054324 | Restoration Health Service | Chiropractor | 100 S Sterling Ave, Sugar Creek, MO 64054-1215 | 2011-03-17 |
| 1023247806 | 325th Combat Support Hospital | Skilled Nursing Facility | 11101 E Independence Ave, Independence, MO 64054-1511 | 2009-07-14 |
| Find all providers in zip 64054 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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 |
|---|---|---|---|---|
| 1750567624 | Lowe Drug Company | Pharmacy | 19950 East 39th Street South, Suite 120, Independence, MO 64057 | 2008-01-10 |
| 1700077831 | Walgreen Co. | Pharmacy | 2005 Centennial Blvd, Independence, KY 41051-7041 | 2007-08-05 |
| 1124176888 | Cherokee Drug Shoppe | Pharmacy | 6439 Taylor Mill Rd, Independence, KY 41051-9343 | 2007-01-08 |
| 1912070525 | Nies Pharmacy Inc | Pharmacy | 11745 Madison Pike, Independence, KY 41051-8637 | 2006-11-15 |
| 1588754725 | 50-plus Pharmacy Inc. | Pharmacy | 211 W Lexington Ave, Independence, MO 64050-3709 | 2006-10-16 |
| 1114027554 | Missouri Cvs Pharmacy, L.L.C. | Pharmacy | 1545 E 23rd St S, Independence, MO 64055-1670 | 2006-09-25 |
| 1942309257 | Missouri Cvs Pharmacy, L.L.C. | Pharmacy | 11115 E Us Highway 24, Independence, MO 64054-1567 | 2006-09-22 |
| 1699872267 | Hartig Drug Co Corp | Pharmacy | 200 1st St E, Independence, IA 50644-2813 | 2006-09-17 |
| 1821191651 | Ohio Cvs Stores LLC | Pharmacy | 6527 Brecksville Rd, Independence, OH 44131-4897 | 2006-09-07 |
| 1912017534 | Costco Wholesale Corporation | Pharmacy | 19040 E Valley View Pkwy, Independence, MO 64055 | 2006-08-30 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64054 |
Please comment or provide details below to improve the information on MATT'S RX,LLC.
| 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.