JOHN'S RX SOUTHWEST LLC (NPI# 1306324173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306324173 |
| Entity Type | Organization |
| Organization Name | JOHN'S RX SOUTHWEST LLC |
| Practice Address |
5497 N 17th St Ozark MO 65721-7663 |
| Mailing Address |
2007 Independence St Cape Girardeau MO 63703-5805 |
| Practice Telephone | 4174856200 |
| Practice Fax Number | 4174856201 |
| Mailing Telephone | 5733345125 |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2018-09-20 |
| Authorized Official Name | MARK MCMULLIN (OWNER) |
| Authorized Official Telephone | 5732902332 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1306324173 | 05 |
| Street Address |
5497 N 17TH ST |
| City | OZARK |
| State | MO |
| Zip Code | 65721-7663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609359967 | William E Taylor | Pharmacist | 5497 N 17th St, Ozark, MO 65721-7663 | 2018-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063054880 | Ramya Sravani Pakala | Family Medicine | 5571 N. 21st St., Ozark, MO 65721 | 2019-10-14 |
| 1871073346 | Regional Services | Nurse Practitioner | 1350 W Bluff Dr, Ozark, MO 65721 | 2018-08-15 |
| 1932602125 | Clarence William Jaggard Jr. | Family Medicine | Ozark Valley Medical Clinic 5571 N. 21st St., Ozark, MO 65721 | 2018-03-14 |
| 1053826750 | Veronica Keller | Speech-Language Pathologist | 3608 N. Highway Nn, Ozark, MO 65721 | 2017-12-05 |
| 1124546304 | Kara Nicole Peterson | Speech-Language Pathologist | 302 N 4th Ave., Ozark, MO 65721 | 2017-09-07 |
| 1912391368 | Mobile X-ray Services, LLC | Clinic/Center | 3050 N. 20th Street, Ozark, MO 65721 | 2015-03-24 |
| 1073787289 | Melissa Milan | Counselor | 332 South 3rd Street, Ozark, MO 65721 | 2008-04-17 |
| 1306038948 | Preferred Hospice of Missouri Southwest LLC | Hospice Care, Community Based | 1567 West Diane, Suite B, Ozark, MO 65721 | 2007-08-17 |
| 1508073040 | Retirement At Century Pines Inc. | Assisted Living Facility | 709 E. Mccracken, Ozark, MO 65721 | 2007-05-16 |
| 1184844482 | Ozark Medical Imaging Center | Radiology | 1500 W State Hwy J, Ozark, MO 65721 | 2007-04-27 |
| Find all providers in zip 65721 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1780298406 | Healthdirect Institutional Pharmacy Services, Inc. | Pharmacy | 4083 N State Highway Nn, Ozark, MO 65721-7201 | 2020-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033534 | Good Graces, LLC | Pharmacy | 857 E Main Street, Ste 3 - 5, Willow Springs, MO 65793 | 2020-11-03 |
| 1023620838 | Tipton Pharmacy | Pharmacy | 310 Us Highway 50 W, Tipton, MO 65081-8701 | 2020-08-21 |
| 1568095313 | Auburn Pharmacy, Inc. | Pharmacy | 1103 S 169 Hwy, Smithville, MO 64089 | 2020-02-20 |
| 1780229690 | Dalpoas Group Inc | Pharmacy | 4245 Forest Park Ave Ste B, Saint Louis, MO 63108-2810 | 2019-11-14 |
| 1053953109 | Summers Pharmacy of Slater, LLC | Pharmacy | 102 E Maple St, Slater, MO 65349-1539 | 2019-10-10 |
| 1316594328 | Legacy Drugstore LLC | Pharmacy | 13000 Veterans Memorial Pkwy Ste A, Wright City, MO 63390-1012 | 2019-08-23 |
| 1972158673 | Hils Pharmacy Salisbury LLC | Pharmacy | 501 E. 24 Hwy Ste A, Salisbury, MO 65281 | 2019-08-08 |
| 1700342888 | Battlefield Pharmacy | Pharmacy | 4062 W Republic Rd, Battlefield, MO 65619-7108 | 2019-02-14 |
| 1548733769 | Guardian Pharmacy of St. Louis, LLC | Pharmacy | 926 S Highway Dr, Fenton, MO 63026-2023 | 2019-01-10 |
| 1346718418 | Gideon Pharmacy LLC | Pharmacy | 111 N Main St., Gideon, MO 63848 | 2018-11-07 |
| 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.