TOWN & COUNTRY SUPER MARKET INC (NPI# 1083695902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083695902 |
Entity Type | Organization |
Organization Name | TOWN & COUNTRY SUPER MARKET INC |
Other Organization Name | COUNTRY MART PHARMACY #2416 |
Practice Address |
508 E 5th St Dixon MO 65459-6201 |
Mailing Address |
Po Box 748 Salem MO 65560-0748 |
Practice Telephone | 5737593073 |
Practice Fax Number | 5737593560 |
Mailing Telephone | 5737294091 |
Mailing Fax Number | 5737292394 |
Enumeration Date | 2005-11-08 |
Last Update Date | 2012-12-04 |
Authorized Official Name | MRS. JANET GOTT (PHARMACY SUPERVISOR) |
Authorized Official Telephone | 5737294091 |
Authorized Official Credential | RPH |
Is Organization Subpart | Y |
Parent Organization Name | TOWN & COUNTRY SUPER MARKET INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332B00000X | Durable Medical Equipment & Medical Supplies | 2005015586 | MO | Suppliers |
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2005015586 | MO | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 606197705 | 05 | |
MO | 626197701 | 05 |
Other Name | Type Code |
---|---|
Country Mart Pharmacy #2416 | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952382913 | Town & Country Super Market Inc | Durable Medical Equipment & Medical Supplies | 43 East Highway 8, Steelville, MO 65565 | 2005-11-08 |
1093706632 | Town & Country Super Market Inc | Durable Medical Equipment & Medical Supplies | 1204 E Highway 32, Salem, MO 65560-2844 | 2005-11-02 |
Street Address |
508 E 5TH ST |
City | DIXON |
State | MO |
Zip Code | 65459-6201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205091139 | William Edward Colyer | Family Medicine | Hwy 28 100 E. 5th Street, Dixon, MO 65459 | 2008-07-21 |
1770621542 | Dixon Ambulance District | Ambulance | 305 S. Ellen St., Dixon, MO 65459 | 2007-02-02 |
1114077864 | Brenda Joy Fricke | Counselor | 402 S Elm, Box 798, Dixon, MO 65459 | 2007-01-12 |
1124152855 | Romar Gianan Milos | Physical Therapist | 106 West Fourth Street, Dixon, MO 65459-0166 | 2007-03-15 |
1255471587 | Dixon Reorganized Dist R1 | Physical Therapist | 106 W Fourth St, Dixon, MO 65459-0166 | 2007-02-07 |
1992997852 | Yvette Labajo Jakosalem | Occupational Therapist | 106 W Fourth St, Dixon Reorgaized Distr R-1, Dixon, MO 65459-0166 | 2007-08-15 |
1316070444 | Julia Clodius Cooke | Speech-Language Pathologist | 106 W Fourth St, Box A, Dixon, MO 65459-0166 | 2007-03-14 |
1134282429 | Hometown Pharmacy | Pharmacy | 206 West 2nd Street, Dixon, MO 65459-0220 | 2006-12-18 |
1235135682 | Dixon Family Practice and Internal Medicine, LLC | Family Medicine | 206 West 2nd Street, Dixon, MO 65459-0940 | 2005-06-21 |
1164427324 | Carlene S Mcmillian | Nurse Practitioner | 206 W. 2nd Street, Dixon, MO 65459-0940 | 2005-06-15 |
Find all providers in zip 65459 |
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] |
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1992081988 | Walgreens | Pharmacy | 1275 N Galena Ave, Dixon, IL 61021-1001 | 2011-10-23 |
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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.