ODESSA FAMILY PHARMACY (NPI# 1285675132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285675132 |
| Entity Type | Organization |
| Organization Name | ODESSA FAMILY PHARMACY |
| Other Organization Name | ODESSA FAMILY PHARMACY |
| Practice Address |
316 W 40 Hwy Ste A Odessa MO 64076 |
| Mailing Address |
Po Box 108 Odessa MO 64076-0108 |
| Practice Telephone | 8166338480 |
| Practice Fax Number | 8162305675 |
| Mailing Telephone | 8166338480 |
| Mailing Fax Number | 8162305675 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2011-12-23 |
| Authorized Official Name | MARSHA DIRCK (OWNER) |
| Authorized Official Telephone | 8166338480 |
| Authorized Official Credential | RPH |
| 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 |
004338 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 2615194 | 01 | |
| MO | 600748503 MO | 05 |
| Other Name | Type Code |
|---|---|
| ODESSA FAMILY PHARMACY | Doing Business As Name - Organization |
| Street Address |
316 W 40 HWY STE A |
| City | ODESSA |
| State | MO |
| Zip Code | 64076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316901010 | Bradley Leonard Zink | Family Medicine | 316 W 40 Hwy, Odessa, MO 64076-7445 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548823966 | Bethany Jeanette Foss | Nurse Practitioner | 1280 W 40 Hwy, Odessa, MO 64076 | 2019-04-22 |
| 1619216231 | Heather N Begemann | Nurse Practitioner | 1280 West 40 Hwy, Odessa, MO 64076 | 2013-02-01 |
| 1558640334 | Linda Lou Proctor | Registered Nurse | 1278 Old Us 40 Hwy, Odessa, MO 64076 | 2011-08-10 |
| 1730499104 | Pamela Joyce Miller | Counselor | 406 A N. 4th Street, Odessa, MO 64076 | 2010-10-19 |
| 1225004781 | Richard Joseph Humble | Counselor | 406a N 4th, Odessa, MO 64076 | 2006-02-24 |
| 1568962611 | Tina Marie Davis | Nurse Practitioner | 1280 West 40 Hwy, Odessa, MO 64076 | 2018-02-15 |
| 1740701697 | Leslie Gleason | Counselor | 1278 W Us Highway 40, Odessa, MO 64076 | 2017-06-30 |
| 1982080008 | Danielle Fera | Counselor | 1278 W Us Highway 40, Odessa, MO 64076 | 2015-07-31 |
| 1184979940 | Lucas Paul Taylor | Counselor | 1278 W Us Highway 40, Odessa, MO 64076 | 2012-07-18 |
| 1093893893 | Missouri Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 101 S 2nd St, Odessa, MO 64076 | 2006-11-01 |
| Find all providers in zip 64076 | ||||
| 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 |
|---|---|---|---|---|
| 1790394427 | Mekason Pharmacy Odessa, Inc | Pharmacy | 3600 N Dixie Blvd, Odessa, TX 79762-6845 | 2020-07-28 |
| 1962918581 | Dorado Rx Pharmacy,llc | Pharmacy | 4060 Faudree Rd Ste 101, Odessa, TX 79765-8755 | 2017-12-19 |
| 1174645477 | Med 1st LLC | Pharmacy | 11206 Challenger Ave, Unit D, Odessa, FL 33556-3482 | 2007-04-06 |
| 1689702326 | Odessa Drugs | Pharmacy | 19 W. 1st Ave., Odessa, WA 99159-0189 | 2007-03-02 |
| 1306851209 | Walgreen Co | Pharmacy | 2161 E 42nd St, Odessa, TX 79762-5842 | 2006-07-29 |
| 1699313767 | Sunflower Rx, LLC | Pharmacy | 700 N Grant Ave Ste 150, Odessa, TX 79761-4535 | 2019-12-19 |
| 1427396332 | Cvs Pharmacy Inc | Pharmacy | 4101 E 42nd St, Odessa, TX 79762-7239 | 2013-01-28 |
| 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.