ZUMWALT PHARMACY INC (NPI# 1124127691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124127691 |
| Entity Type | Organization |
| Organization Name | ZUMWALT PHARMACY INC |
| Other Organization Name | EVANS DRUGS |
| Practice Address |
19 Public Sq Stockton MO 65785-7617 |
| Practice Telephone | 4172763128 |
| Practice Fax Number | 4172764914 |
| Mailing Telephone | 4172763128 |
| Mailing Fax Number | 4172764914 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-04-02 |
| Authorized Official Name | KEVIN ALAN MCCULLOUGH (OWNER) |
| Authorized Official Telephone | 4178763313 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
3723 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2049877 | 01 | |
| MO | 600900005 | 05 |
| Other Name | Type Code |
|---|---|
| EVANS DRUGS | Doing Business As Name - Organization |
| ZUMWALT PHARMACY | Doing Business As Name - Organization |
| Street Address |
19 PUBLIC SQ |
| City | STOCKTON |
| State | MO |
| Zip Code | 65785-7617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689234528 | Jake Gorrell | Pharmacist | 19 Public Sq, Stockton, MO 65785-7617 | 2019-06-13 |
| 1699224253 | Katherine Tenney Weaver | Pharmacist | 19 Public Sq, Stockton, MO 65785-7617 | 2016-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891017356 | Debbie Lynn Haines | Pharmacy Technician | 19 Public Square, Stockton, MO 65785 | 2010-02-24 |
| 1316003759 | Cheryl Thornton | Psychologist | 808 South St, Stockton, MO 65785 | 2006-12-29 |
| 1336192582 | Rodger S Campbell | Emergency Medicine | 106 West Blair Drive, Stockton, MO 65785 | 2006-05-18 |
| 1134109713 | Citizens Memorial Health Care Foundation | Skilled Nursing Facility | 811 Owens Mill Rd, Stockton, MO 65785 | 2006-01-19 |
| 1376865865 | Katherine Marie Hicks | Pharmacy Technician | 19 Public Square, Stockton, MO 65785 | 2010-02-24 |
| 1639212608 | Stockton R-i School District | Physical Therapist | 906 South St, Stockton, MO 65785 | 2007-02-15 |
| 1114249752 | Karen Sue Purtle | Pharmacist | 19 Public Square, Stockton, MO 65785-0189 | 2010-02-24 |
| 1801921366 | Emily F Green | Speech-Language Pathologist | 906 Sout St, Stockton R-i School District, Stockton, MO 65785-0190 | 2007-02-23 |
| 1942223649 | Troy Devon Evans | Chiropractor | 107 W Hwy 32, Suite D, Stockton, MO 65785-0384 | 2006-07-25 |
| 1962683524 | Craig Maxwell, D.d.s., P.C. | Dentist | 201 West Smith Drive, Stockton, MO 65785-0609 | 2007-11-23 |
| Find all providers in zip 65785 | ||||
| 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 |
|---|---|---|---|---|
| 1700409992 | Tin Enterprise LLC | Pharmacy | 678 N Wilson Way Ste 14, Stockton, CA 95205-4200 | 2020-05-21 |
| 1225592058 | West Lane Clinic Rx LLC | Pharmacy | 4873 West Ln Ste B, Stockton, CA 95210-4548 | 2019-01-25 |
| 1285173104 | Bruce and Lee Inc | Pharmacy | 73 W March Lane Ste D, Stockton, CA 95207-5726 | 2017-02-13 |
| 1588802748 | Woods Supermarket Inc | Pharmacy | 1109 South St, Stockton, MO 65785-9456 | 2009-01-27 |
| 1265580864 | Kaiser Foundation Health Plan Inc | Pharmacy | 7373 West Ln Fl 1, Stockton, CA 95210-3377 | 2007-01-08 |
| 1760530406 | Kaiser Foundation Health Plan Inc | Pharmacy | 7373 West Ln Fl 2, Stockton, CA 95210-3377 | 2007-01-08 |
| 1225120314 | Fremont Center Pharmacy | Pharmacy | 2525 E Fremont St, Stockton, CA 95205-3906 | 2006-09-28 |
| 1417052937 | Douglas Earl Bennett | Pharmacy | 2005 E Mariposa Rd, Stockton, CA 95205-7735 | 2006-09-13 |
| 1326150319 | Califormacy Inc | Pharmacy | 3526 Manthey Rd, Ste H, Stockton, CA 95206-5301 | 2006-08-31 |
| 1396855904 | Costco Wholesale Corporation | Pharmacy | 1616 E Hammer Ln, Stockton, CA 95210 | 2006-08-30 |
| Find all providers in STOCKTON | ||||
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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.