INTERLOCK PHARMACY SYSTEMS, LLC (NPI# 1396847653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396847653 |
| Entity Type | Organization |
| Organization Name | INTERLOCK PHARMACY SYSTEMS, LLC |
| Other Organization Name | OMNICARE OF COLUMBIA |
| Practice Address |
4509 I-70 Drive S.e. Columbia MO 65201 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 5738751971 |
| Practice Fax Number | 8883147104 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2019-03-08 |
| Authorized Official Name | SUSAN COLBERT (SR DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702157 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Omnicare of Columbia | Doing Business As Name - Organization |
| Omnicare of Columbia #48282 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144332271 | Interlock Pharmacy Systems, LLC | Pharmacy | 934 Valley Creek Dr, Farmington, MO 63640 | 2006-08-31 |
| 1790896280 | Interlock Pharmacy Systems, LLC | Pharmacy | 345 Dunn Rd, Florissant, MO 63031-7929 | 2006-08-31 |
| Street Address |
4509 I-70 DRIVE S.E. |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
| 1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
| 1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
| 1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
| 1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
| 1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
| Find all providers in zip 65201 | ||||
| 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 |
|---|---|---|---|---|
| 1811248412 | Genoa Healthcare, LLC | Pharmacy | 4 Harbison Way, Columbia, SC 29212-3402 | 2012-09-24 |
| 1043571367 | Nayosha LLC | Pharmacy | 8900 Columbia 100 Pkwy Ste H, Columbia, MD 21045-2336 | 2012-06-04 |
| 1649470220 | Partners Pharmacy of Maryland LLC | Pharmacy | 8910 Route 108, Suite C, Columbia, MD 21045-2151 | 2007-07-20 |
| 1245390707 | Longs Closed Door Pharmacy Inc | Pharmacy | 111 Executive Center Dr Ste 222, Columbia, SC 29210-8425 | 2006-12-12 |
| 1710069596 | Palmetto Rx Solutions Inc | Pharmacy | 8 Harbison Way, Columbia, SC 29212-3402 | 2006-10-20 |
| 1740201706 | Pltcp LLC | Pharmacy | 317 Zimalcrest Dr, Columbia, SC 29210-6833 | 2006-07-22 |
| 1649228909 | Lifehme, Inc. | Pharmacy | 454 Berryhill Rd, Columbia, SC 29210-6447 | 2006-05-05 |
| 1326042888 | Columbia Discount Drugs, Inc | Pharmacy | 1201 Highway 13 N, Columbia, MS 39429-2015 | 2005-06-11 |
| 1932725033 | Kilgore Inc | Pharmacy | 700 N Providence Rd, Columbia, MO 65203-4373 | 2020-06-24 |
| 1336523745 | Kilgore Inc | Pharmacy | 700 N Providence Rd, Columbia, MO 65203-4373 | 2015-07-15 |
| Find all providers in COLUMBIA | ||||
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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.