CAPITAL REGION MEDICAL CENTER (NPI# 1174882864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174882864 |
| Entity Type | Organization |
| Organization Name | CAPITAL REGION MEDICAL CENTER |
| Other Organization Name | CAPITAL CARE PHARMACY |
| Practice Address |
1125 Madison St Jefferson City MO 65101-5227 |
| Practice Telephone | 5736325295 |
| Practice Fax Number | 5736325874 |
| Mailing Telephone | 5736325295 |
| Mailing Fax Number | 5736325874 |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2013-11-06 |
| Authorized Official Name | JANETTE HOLT (PHARMACIST IN CHARGE) |
| Authorized Official Telephone | 5736325295 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2012014230 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 608414702 | 05 | |
| PK | 2135154 | 01 |
| Other Name | Type Code |
|---|---|
| Capital Care Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821228388 | Capital Region Medical Center | Internal Medicine | 999 Diamond Rdg, Suite 201, Jefferson City, MO 65109-6920 | 2009-07-19 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1285810093 | Capital Region Medical Center | Family Medicine | 309 N. Main Street, Chamois, MO 65024 | 2008-01-11 |
| 1215057542 | Capital Region Medical Center | Physical Therapist | 1015 Moreau Dr, Jefferson City, MO 65101-3518 | 2007-03-30 |
| 1629031018 | Capital Region Medical Center | Clinic/Center | 1014 Madison St, Jefferson City, MO 65102-3458 | 2006-04-08 |
| 1134188741 | Capital Region Medical Center | Clinic/Center | 3536 Kuhne Road, Owensville, MO 65066 | 2006-03-22 |
| 1215906433 | Capital Region Medical Center | Family Medicine | 2nd Street and Oak, Stover, MO 65078 | 2006-03-17 |
| 1710959598 | Capital Region Medical Center | Family Medicine | 180 Northstar St, Holts Summit, MO 65043-1123 | 2006-02-06 |
| 1730151143 | Capital Region Medical Center | Family Medicine | 704 Buchanan Hwy Sw, California, MO 65018 | 2006-02-02 |
| 1285606392 | Capital Region Medical Center | Nurse Practitioner | 103 Business Hwy 54 North, Eldon, MO 65026 | 2006-02-02 |
| Street Address |
1125 MADISON ST |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65101-5227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900085 | Elizabeth A Blanchard | Obstetrics & Gynecology | 1125 Madison St, Jefferson City, MO 65101-5227 | 2005-05-23 |
| 1740807031 | Courtney R Kunze | Nurse Practitioner | 1125 Madison St, Jefferson City, MO 65101-5200 | 2020-07-02 |
| 1528685906 | Garrett Hull | Family Medicine | 1125 Madison St, Jefferson City, MO 65101-5227 | 2020-07-01 |
| 1508499278 | Amy L Wyatt | Nurse Practitioner | 1125 Madison St, Jefferson City, MO 65101-5227 | 2020-02-20 |
| 1982257960 | Kahlil A Gaiters | Student in an Organized Health Care Education/Training Program | 1125 Madison St, Jefferson City, MO 65101-5200 | 2019-07-19 |
| 1710548821 | Erin Nicole Smallmon | Family Medicine | 1125 Madison St, Jefferson City, MO 65101-5200 | 2019-06-28 |
| 1215598602 | Brian Vause | Family Medicine | 1125 Madison St, Jefferson City, MO 65101-5227 | 2019-06-26 |
| 1770147266 | Heghineh Galstian | Family Medicine | 1125 Madison St, Jefferson City, MO 65101-5227 | 2019-04-30 |
| 1659935005 | Anna Marie Milner | Registered Nurse | 1125 Madison St, Jefferson City, MO 65101-5227 | 2019-04-30 |
| 1972076750 | Jennifer Esther Wekenborg | Physician Assistant | 1125 Madison St, Jefferson City, MO 65101-5200 | 2019-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619468527 | Lhcg Cxxxxiii, LLC | Home Health | 1125 Madison St Ste C, Jefferson City, MO 65101 | 2018-05-25 |
| 1396254629 | Lauren Mellon | Speech-Language Pathologist | 6124 Falcon Lane, Jefferson City, MO 65101 | 2017-09-29 |
| 1518375708 | Daven Nanda | Pharmacist | 2101 N Schotthill Woods Dr., Jefferson City, MO 65101 | 2014-07-31 |
| 1699183228 | Mark Nitz | Pharmacist | 2101 N Schotthill Dr, Jefferson City, MO 65101 | 2014-07-28 |
| 1386923472 | Lorinda Jo Leer | Occupational Therapist | 1403 Riverside Drive, Jefferson City, MO 65101 | 2011-08-08 |
| 1124334503 | Kimberly K Baumhoer | Hearing Instrument Specialist | 315 Ellis Blvd. Suite 202, Hearing Aid Consultants, Jefferson City, MO 65101 | 2010-08-24 |
| 1780867341 | Health Enhancements, P.C. | Family Medicine | 1739 Elm Court Plaza, Suite 106, Jefferson City, MO 65101 | 2007-12-06 |
| 1336364819 | Jerome Satorre | Occupational Therapist | 505 Ellis Blvd, Apt B20, Jefferson, MO 65101 | 2007-04-17 |
| 1326263450 | Bryan M. Pope, Dds Inc. | Dentist | 200 St. Mary's Medical Plaza, Suite 101, Jefferson City, MO 65101 | 2007-04-16 |
| 1104948769 | Kenneth Mark Skouby | Social Worker | 515a East Mccarty, Jefferson City, MO 65101 | 2007-04-04 |
| Find all providers in zip 65101 | ||||
| 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 |
|---|---|---|---|---|
| 1104905884 | Murphys Sav-mor Pharmacy Inc | Pharmacy | 1403 Russell Ave, Jefferson City, TN 37760-2530 | 2006-11-03 |
| 1023113248 | Jefferson City Apothecary LLC | Pharmacy | 1739 Elm Ct Ste 108, Jefferson City, MO 65101-4303 | 2006-09-13 |
| 1578666277 | Tennessee Cvs Pharmacy LLC | Pharmacy | 139 E Broadway Blvd, Jefferson City, TN 37760-2536 | 2006-09-07 |
| 1326055344 | Walgreen Co | Pharmacy | 3740 W Truman Blvd, Jefferson City, MO 65109-0537 | 2006-08-02 |
| 1750396784 | Walgreen Co | Pharmacy | 132 E Broadway Blvd, Jefferson City, TN 37760-2535 | 2006-07-29 |
| 1194767384 | Missouri Cvs Pharmacy LLC | Pharmacy | 735 W Stadium Blvd, Jefferson City, MO 65109-4753 | 2006-06-12 |
| 1952755472 | K-mart | Pharmacy | 2304 Missouri Blvd, Jefferson City, MO 65109-4729 | 2016-04-21 |
| 1073979522 | Jeff City Pharmacist Group LLC Dba Md Pharmacy Store 2 | Pharmacy | 657 E Broadway Blvd, Jefferson City, TN 37760 | 2016-01-13 |
| 1922417021 | Walgreens | Pharmacy | 900 Eastland Dr, Jefferson City, MO 65101-3894 | 2014-08-04 |
| 1194084772 | Capital Care Pharmacy | Pharmacy | 1125 Madison St, Jefferson City, MO 65101-5227 | 2012-05-16 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 65101 |
Please comment or provide details below to improve the information on CAPITAL REGION MEDICAL CENTER.
| 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.