C&P VIBURNUM VENTURES LLC (NPI# 1184092793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184092793 |
| Entity Type | Organization |
| Organization Name | C&P VIBURNUM VENTURES LLC |
| Other Organization Name | IRON COUNTY DRUG STORE |
| Practice Address |
1 Viburnum Center Rd Ste B Viburnum MO 65566-7802 |
| Mailing Address |
450 County Road 139 Alton MO 65606-8221 |
| Practice Telephone | 5732443784 |
| Practice Fax Number | 5732443700 |
| Mailing Telephone | 5732443784 |
| Mailing Fax Number | 5732443700 |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2019-04-10 |
| Authorized Official Name | REBECA WALTERS-PEACE (OWNER-RPH) |
| Authorized Official Telephone | 4177786807 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2015037740 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1184092793 | 05 | |
| PK | 2154621 | 01 | |
| MO | 600027013 | 05 |
| Other Name | Type Code |
|---|---|
| Iron County Drug Store | Doing Business As Name - Organization |
| Street Address |
1 VIBURNUM CENTER RD STE B |
| City | VIBURNUM |
| State | MO |
| Zip Code | 65566-7802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497181614 | Disabled Citizens Alliance for Independence Foundation, Inc | Chore Provider | 83 South Hwy 49, Viburnum, MO 65566 | 2013-09-19 |
| 1386868032 | Iron County Ems | Ambulance | 15 Vine Street, Viburnum, MO 65566 | 2007-04-12 |
| 1871647560 | Disabled Citizens Alliance for Independence | Technician | #8 Missouri Avenue, Viburnum, MO 65566 | 2007-01-22 |
| 1194819391 | Linda Sue Pyatt | Nurse's Aide | #9 Viburnum Shopping Center, Viburnum, MO 65566 | 2006-10-03 |
| 1477657609 | Big Springs Medical Association | Clinic/Center | 18 Viburnum Center Rd, Viburnum, MO 65566 | 2006-09-08 |
| 1750477832 | Vanessa R Roper | Licensed Practical Nurse | #9 Viburnum Shopping Center, Viburnum, MO 65566 | 2006-10-05 |
| 1902414287 | Lester E Cox Medical Centers | Nurse Practitioner | 37 Highway 49, Viburnum, MO 65566-1001 | 2020-07-22 |
| 1972009173 | Iron County C-4 School District | Local Education Agency (LEA) | 35 Highway 49, Viburnum, MO 65566-1001 | 2018-04-05 |
| 1942230552 | Deana Payne | Social Worker | 83 Highway 49, Viburnum, MO 65566-1001 | 2006-07-03 |
| 1073146957 | Georgia L Roth | Social Worker | 83 Highway 49, Viburnum, MO 65566-1001 | 2020-02-19 |
| Find all providers in zip 65566 | ||||
| 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 | ||||
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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.