RKJ HOLDINGS LLC (NPI# 1245602598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245602598 |
Entity Type | Organization |
Organization Name | RKJ HOLDINGS LLC |
Other Organization Name | LIBERTY PHARMACY |
Practice Address |
508-2 W. Us 60 Mountain View MO 65548 |
Mailing Address |
10370 Pr 8827 West Plains MO 65775 |
Practice Telephone | 4172567706 |
Mailing Telephone | 4172556713 |
Enumeration Date | 2015-10-27 |
Last Update Date | 2015-10-27 |
Authorized Official Name | RONALD JENSEN (SOLE OWNER) |
Authorized Official Telephone | 4172556713 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
Y | 333600000X | Pharmacy | 2015038140 | MO | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2154508 | 01 |
Other Name | Type Code |
---|---|
Liberty Pharmacy | Doing Business As Name - Organization |
Street Address |
508-2 W. US 60 |
City | MOUNTAIN VIEW |
State | MO |
Zip Code | 65548 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306294665 | Mary Elizabeth Waterhouse | Nurse Practitioner | 210 Jackson Street, Mountain View, MO 65548 | 2016-05-27 |
1790176881 | Willow Health Care Inc | Assisted Living Facility | 1211 N Ash, Mountain View, MO 65548 | 2015-02-10 |
1861545097 | Scott Keith Bowden | Dentist | 408#1 West Us Highway 60, Mountain View, MO 65548 | 2007-01-19 |
1366534455 | Russell S Schierling | Chiropractor | 1219 Hwy 17 South, Mountain View, MO 65548 | 2006-09-28 |
1023053477 | Mercy St. Francis Hospital | General Acute Care Hospital | 100 West Highway 60, Mountain View, MO 65548 | 2006-06-19 |
1871570887 | Spartan Sleep Studies | Clinic/Center | 508-3 W Hwy 60, Mountain View, MO 65548 | 2005-12-30 |
1063850584 | Mercy St Francis Hospital | Clinic/Center | 104 East Highway 60, Mountain View, MO 65548 | 2013-06-06 |
1528275955 | St Francis Hospital | Durable Medical Equipment & Medical Supplies | 512-1 W Us Highway 60, Mountain View, MO 65548 | 2007-05-16 |
1003946732 | Mercy Clinic Springfield Communities | Family Medicine | 104 East Highway 60, Mountain View, MO 65548 | 2007-03-06 |
1851427892 | Ernesto L Carampatan | Emergency Medicine | 100 West Highway 60, Mountain View, MO 65548 | 2007-02-26 |
Find all providers in zip 65548 |
Taxonomy Code | 333600000X |
Grouping | Suppliers |
Classification | Pharmacy |
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
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: added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770043234 | Bvp LLC | Pharmacy | 950 N. Hwy 414, Mountain View, WY 82939 | 2019-03-21 |
1306213384 | Nowrx Inc | Pharmacy | 2224 Old Middlefield Way Ste J, Mountain View, CA 94043-2421 | 2015-08-26 |
1447362363 | Med-econ Pharmacy Inc | Pharmacy | 105 South Dr, Ste 100, Mountain View, CA 94040-4311 | 2006-08-31 |
1356451959 | Costco Wholesale Corporation | Pharmacy | 1000 N Rengstorff Ave, Mountain View, CA 94043 | 2006-08-30 |
1033157052 | Lucky Stores II LLC | Pharmacy | 2535 California St, Mountain View, CA 94040-1301 | 2006-06-02 |
1659318327 | Lucky Stores II LLC | Pharmacy | 715 E El Camino Real, Mountain View, CA 94040-2833 | 2006-06-01 |
1306344510 | El Camino Hospital | Pharmacy | 2500 Grant Rd Ste 1b20, Suite 1b20, Mountain View, CA 94040-4302 | 2018-01-23 |
1336366434 | Rxconsult Corporation | Pharmacy | 701 E El Camino Real, Mountain View, CA 94040-2833 | 2007-04-19 |
1245363159 | El Camino Hospital Pharmacy | Pharmacy | 2500 Grant Rd, Mountain View, CA 94040-4302 | 2007-03-13 |
1821173055 | Jerry Bennett | Pharmacy | 221 Main Street, Mountain View, OK 73062-0720 | 2006-10-26 |
Find all providers in MOUNTAIN VIEW |
City | MOUNTAIN VIEW |
Zip Code | 65548 |
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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.