TOWN & COUNTRY SUPER MARKET INC (NPI# 1093706632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093706632 |
| Entity Type | Organization |
| Organization Name | TOWN & COUNTRY SUPER MARKET INC |
| Other Organization Name | COUNTRY MART PHARMACY #2442 |
| Practice Address |
1204 E Highway 32 Salem MO 65560-2844 |
| Mailing Address |
1204 E Highway 32 Po Box 748 Salem MO 65560-2844 |
| Practice Telephone | 5737294091 |
| Practice Fax Number | 5737292394 |
| Mailing Telephone | 5737294091 |
| Mailing Fax Number | 5737292394 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2012-12-04 |
| Authorized Official Name | MRS. JANET L GOTT (PHARMACY DIRECTOR) |
| Authorized Official Telephone | 5737294091 |
| Authorized Official Credential | PHARMACIST |
| 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 | 006425 | MO | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
6425 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 603779703 | 05 | |
| MO | 623779709 | 05 |
| Other Name | Type Code |
|---|---|
| Country Mart Pharmacy #2442 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083695902 | Town & Country Super Market Inc | Durable Medical Equipment & Medical Supplies | 508 E 5th St, Dixon, MO 65459-6201 | 2005-11-08 |
| 1952382913 | Town & Country Super Market Inc | Durable Medical Equipment & Medical Supplies | 43 East Highway 8, Steelville, MO 65565 | 2005-11-08 |
| Street Address |
1204 E HIGHWAY 32 |
| City | SALEM |
| State | MO |
| Zip Code | 65560-2844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265785489 | Janet L Gott | Pharmacist | 1204 E Highway 32, Salem, MO 65560-2844 | 2012-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174087985 | Brenda Gott | Nurse Practitioner | 3103 Hh Highway, Salem, MO 65560 | 2019-01-25 |
| 1174959142 | Britney Nicole Christesen | Chiropractor | 909 S Pershing Ave, Salem, MO 65560 | 2013-09-22 |
| 1245550474 | Amber Nicole Duncan | Chiropractor | 803 W 32 Hwy, Suite B, Salem, MO 65560 | 2010-06-10 |
| 1043460371 | Tina Marie Mcmullin | Counselor | 601 East Center Street, Salem, MO 65560 | 2008-09-23 |
| 1225286347 | Craig Tatom | Nurse Practitioner | Hwy 72 N Physicians Office Building II, Salem, MO 65560 | 2008-09-03 |
| 1114190576 | Jamie Johnston Wilson | Registered Nurse | Hwy 72 West, Salem, MO 65560 | 2008-04-08 |
| 1750589024 | Vicky L Gulley | Emergency Medicine | 35629 Hwy 72, Pob 1, Suite 3, Salem, MO 65560 | 2007-07-06 |
| 1275669533 | Complete Care, Inc | Durable Medical Equipment & Medical Supplies | 116 W. 4th, Salem, MO 65560 | 2007-02-23 |
| 1023083722 | Brent K. Caudill | General Practice | Hwy 72 N, Salem, MO 65560 | 2006-02-17 |
| 1750369369 | Charles W Cunningham | Family Medicine | 1010 E Scenic Rivers Blvd, Salem, MO 65560 | 2006-01-04 |
| Find all providers in zip 65560 | ||||
| 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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| 1649306531 | Benignity LLC Dba Fort Lewis Pharmacy | Pharmacy | 2246 West Main St, Salem, VA 24153 | 2007-02-26 |
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| 1366542318 | Guffeys Pharmacy Inc | Pharmacy | 172 Hwy 62 E, Suite 2, Salem, AR 72576-0155 | 2006-09-22 |
| 1487753836 | Cvs Pharmacy Inc | Pharmacy | 200 Essex St, Salem, MA 01970-3705 | 2006-09-22 |
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| 1982707618 | Virginia Cvs Pharmacy, L.L.C. | Pharmacy | 179 Electric Rd, Salem, VA 24153-4432 | 2006-09-07 |
| Find all providers in SALEM | ||||
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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.