KB KIRKSVILLE PHARMACY LLC (NPI# 1134579923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134579923 |
| Entity Type | Organization |
| Organization Name | KB KIRKSVILLE PHARMACY LLC |
| Other Organization Name | KIRKSVILLE PHARMACY |
| Practice Address |
1611 S Baltimore St Kirksville MO 63501-4518 |
| Mailing Address |
1611 S Baltimore St Ste B Kirksville MO 63501-4518 |
| Practice Telephone | 6609567010 |
| Practice Fax Number | 6609567015 |
| Mailing Telephone | 6609567010 |
| Mailing Fax Number | 6609567015 |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2020-04-02 |
| Authorized Official Name | TRACY TIMMERMANN (MANAGER/AO) |
| Authorized Official Telephone | 4178763313 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2016029935 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 600035560 | 05 | |
| PK | 2160612 | 01 |
| Other Name | Type Code |
|---|---|
| KIRKSVILLE PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326684689 | Kb Kirksville Pharmacy LLC | Pharmacy | 1611 S Baltimore St Ste B, Kirksville, MO 63501-4521 | 2019-11-21 |
| Street Address |
1611 S BALTIMORE ST |
| City | KIRKSVILLE |
| State | MO |
| Zip Code | 63501-4518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245444058 | Tracy Ryan Parks | Counselor | 1611 S Baltimore St, Kirksville, MO 63501-4536 | 2007-05-10 |
| 1063053650 | Brooke April Sprague | Nurse Practitioner | 1611 S Baltimore St, Kirksville, MO 63501-4518 | 2019-10-04 |
| 1942859434 | Katie Lynn Sternberg | Registered Nurse | 1611 S Baltimore St, Kirksville, MO 63501-4518 | 2019-09-06 |
| 1922570142 | Lillian Jean Bruner | Registered Nurse | 1611 S Baltimore St, Kirksville, MO 63501-4518 | 2018-12-28 |
| 1083134951 | Hannibal Regional Healthcare System, Inc | Clinic/Center | 1611 S Baltimore St, Kirksville, MO 63501-4518 | 2017-06-22 |
| 1245760495 | Jordan Adair Palmer | Family Medicine | 1611 S Baltimore St, Kirksville, MO 63501-4518 | 2017-06-19 |
| 1447789300 | Hannibal Regional Healthcare System, Inc | Family Medicine | 1611 S Baltimore St, Kirksville, MO 63501-4518 | 2017-06-05 |
| 1760939474 | Andrew Weber | Physician Assistant | 1611 S Baltimore St, Kirksville, MO 63501-4518 | 2016-09-10 |
| 1942653126 | Jessica Lynn Buchheit | Pharmacist | 1611 S Baltimore St, Kirksville, MO 63501-4536 | 2016-07-22 |
| 1104273861 | April Winkler | Nurse Practitioner | 1611 S Baltimore St, Kirksville, MO 63501-4536 | 2016-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855642 | Tiffany Anna Athon | Pharmacist | Hy-vee Pharmacy, 500 N Baltimore, Kirksville, MO 63501 | 2020-06-11 |
| 1649829425 | Jillian Jo Pulis | Speech-Language Pathologist | 1300 S Cottage Ave, Kirksville, MO 63501 | 2019-09-05 |
| 1023662319 | Leah Dawn Murphy | Occupational Therapy Assistant | 1705 E La Harpe St, Kirksville, MO 63501 | 2019-07-25 |
| 1902302912 | Brittney Frances Snelling | Specialist/Technologist | 26820 State Hwy 11, Kirksville, MO 63501 | 2018-03-30 |
| 1063931434 | Kara Wehmeyer | Specialist/Technologist | 100 East Normal, Kirksville, MO 63501 | 2017-09-16 |
| 1285080796 | Hawkins Boone Mecham | General Practice | 407 S Main St # 2, Kirksville, MO 63501 | 2016-05-13 |
| 1003287848 | Lacosta Gaines | Nurse Practitioner | 1607 South Baltimore, Kirksville, MO 63501 | 2015-10-19 |
| 1427442573 | Madi Hoppe | Specialist/Technologist | 23571 Crest Trail, Kirksville, MO 63501 | 2015-03-26 |
| 1407247133 | High Hope Employment Services, Inc. | Day Training, Developmentally Disabled Services | 906 East Shepherd Avenue, Kirksville, MO 63501 | 2015-02-17 |
| 1497069694 | Ella Marie Callison | Physician Assistant | 1611 S Baltimore St Ste A, Kirksville, MO 63501 | 2010-07-29 |
| Find all providers in zip 63501 | ||||
| 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 |
|---|---|---|---|---|
| 1699374629 | Curators of The University of Missouri | Pharmacy | 7115 East St. Charles Road, Columbia, MO 65202 | 2020-10-21 |
| 1376141143 | Phillips Pharmacy, LLC | Pharmacy | 7278 State Highway 14 E, Sparta, MO 65753-9345 | 2020-10-14 |
| 1013527761 | Rpcs, Inc. | Pharmacy | 18128 State Hwy 13, Branson West, MO 65737 | 2020-08-07 |
| 1205446184 | Rpcs, Inc. | Pharmacy | 200 Southtowne Blvd, Hollister, MO 65672-9610 | 2020-08-05 |
| 1912517897 | Rpcs, Inc. | Pharmacy | 1447 State Highway 248 Ste J, Branson, MO 65616-8161 | 2020-08-05 |
| 1245849801 | Rpcs Inc | Pharmacy | 163 W Old Mill Rd, Fair Grove, MO 65648-7918 | 2020-07-29 |
| 1760005219 | Meta Pharmacy Solutions | Pharmacy | 108 Triad Ctr W, O Fallon, MO 63366-7541 | 2020-05-19 |
| 1437778172 | Harps Food Stores, Inc | Pharmacy | 707 Specialty Dr, Dexter, MO 63841-2718 | 2020-04-13 |
| 1013540038 | Auburn Pharmacy Inc | Pharmacy | 810 W 35th St Ste 101, Higginsville, MO 64037-1865 | 2020-02-18 |
| 1801428495 | Scpg Missouri LLC | Pharmacy | 501 South Madison Ave, Suite S, Webb City, MO 64870 | 2020-02-11 |
| Find all providers with the same taxonomy | ||||
| City | KIRKSVILLE |
| Zip Code | 63501 |
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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.