PRESCRIPTION DRUG STORE LLC (NPI# 1235175100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235175100 |
| Entity Type | Organization |
| Organization Name | PRESCRIPTION DRUG STORE LLC |
| Other Organization Name | PRESCRIPTION DRUG STORE #2 |
| Practice Address |
308 E Main St Hayti MO 63851-1639 |
| Practice Telephone | 5733590008 |
| Practice Fax Number | 5733596376 |
| Mailing Telephone | 5733590008 |
| Mailing Fax Number | 5733596376 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2011-10-05 |
| Authorized Official Name | MRS. KRISTEN HALFORD (MANAGER/PHARMACIST) |
| Authorized Official Telephone | 5733590008 |
| Authorized Official Credential | PHARM.D |
| Is Organization Subpart | Y |
| Parent Organization Name | JERRY KELLY DUDLEY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
004067 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 600126114 | 05 |
| Other Name | Type Code |
|---|---|
| Prescription Drug Store #2 | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497790968 | Prescription Drug Store LLC | Pharmacy | 410 Ward Ave, Caruthersville, MO 63830 | 2006-06-18 |
| 1952554693 | Prescription Drug Store LLC | Durable Medical Equipment & Medical Supplies | 410 Ward Ave, Caruthersville, MO 63830-1451 | 2008-10-28 |
| 1861645509 | Prescription Drug Store LLC | Durable Medical Equipment & Medical Supplies | 308 E Main St, Hayti, MO 63851-1639 | 2008-10-28 |
| Street Address |
308 E MAIN ST |
| City | HAYTI |
| State | MO |
| Zip Code | 63851-1639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215927090 | Richard Keith Campbell | Pharmacist | 308 E Main St, Hayti, MO 63851-1639 | 2005-10-24 |
| 1861645509 | Prescription Drug Store LLC | Durable Medical Equipment & Medical Supplies | 308 E Main St, Hayti, MO 63851-1639 | 2008-10-28 |
| 1962650127 | Kristen Renee Halford | Legal Medicine | 308 E Main St, Hayti, MO 63851-1639 | 2008-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619518032 | Mcpherson Medical & Diagnostic, LLC | Clinic/Center | 110 Us Hwy 61 N, Ste B, Hayti, MO 63851 | 2019-10-07 |
| 1225525744 | Roosevelt Dismukes Jr. | Behavior Technician | 500 Highway 61 N J, Hayti, MO 63851 | 2018-04-19 |
| 1417461625 | Rivian Ricole Hill | Recreation Therapist | 501 Highway 61 J N, Hayti, MO 63851 | 2017-11-27 |
| 1750761169 | Lindsey Moody | Case Manager/Care Coordinator | 909 East Reed Street, Hayti, MO 63851 | 2015-06-02 |
| 1710375811 | Jeremy Winstead | Technician, Other | 500 Highway J North, Hayti, MO 63851 | 2014-12-26 |
| 1164810206 | Teresa Ward | Registered Nurse | 589 Hwy J, Hayti, MO 63851 | 2014-12-23 |
| 1780081463 | Heather Brown | Case Manager/Care Coordinator | 581 Hwy J, Hayti, MO 63851 | 2014-11-25 |
| 1184029241 | Cheryl Byrd | Case Manager/Care Coordinator | 581 Highway J, Hayti, MO 63851 | 2014-10-30 |
| 1114320827 | Toshia Russell | Licensed Practical Nurse | 579 North Highway J, Hayti, MO 63851 | 2014-10-08 |
| 1992104301 | Lora Hawes | Case Manager/Care Coordinator | 581 Hwy J North, Hayti, MO 63851 | 2014-08-21 |
| Find all providers in zip 63851 | ||||
| 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 |
|---|---|---|---|---|
| 1669517215 | Donna Ring Corporation | Pharmacy | 225 S 3rd St, Hayti, MO 63851-1617 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1205446184 | Rpcs, Inc. | Pharmacy | 200 Southtowne Blvd, Hollister, MO 65672-9610 | 2020-08-05 |
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| 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.