WESTERN MISSOURI MEDICAL CENTER OUTPATIENT PHARMACY (NPI# 1477761336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477761336 |
| Entity Type | Organization |
| Organization Name | WESTERN MISSOURI MEDICAL CENTER OUTPATIENT PHARMACY |
| Practice Address |
403 Burkarth Rd Warrensburg MO 64093 |
| Mailing Address |
403 Burkarth Rd Warrensburg MO 64093-3101 |
| Practice Telephone | 6607472500 |
| Practice Fax Number | 6604292300 |
| Mailing Telephone | 6607472500 |
| Mailing Fax Number | 6604292300 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2018-05-17 |
| Authorized Official Name | MICHAEL DEAN OHMART (VP/CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6602627307 |
| Is Organization Subpart | Y |
| Parent Organization Name | WESTERN MISSOURI MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | 2006035150 | MO | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 606090009 | 05 | |
| MO | DEA REGISTRATION | BW8431811 | 01 |
| MO | STATE LICENSE # | 2003015598 | 01 |
| MO | STATE TAX ID | 12543918 | 01 |
| Street Address |
403 BURKARTH RD |
| City | WARRENSBURG |
| State | MO |
| Zip Code | 64093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083601330 | Western Missouri Medical Center | Medicare Defined Swing Bed Unit | 403 Burkarth Rd, Warrensburg, MO 64093 | 2005-10-03 |
| 1851952576 | Elizabeth Marie Heinz | Dietitian, Registered | 403 Burkarth Rd, Warrensburg, MO 64093-3101 | 2019-06-24 |
| 1740847326 | Nathan William Simmons | Nurse Anesthetist, Certified Registered | 403 Burkarth Rd, Warrensburg, MO 64093-3101 | 2019-05-20 |
| 1861965212 | Kristena Jordan Scott | Nurse Anesthetist, Certified Registered | 403 Burkarth Rd, Warrensburg, MO 64093-3101 | 2019-01-08 |
| 1124516976 | Jennifer Nicole Stoner | Registered Nurse | 403 Burkarth Rd, Warrensburg, MO 64093-3101 | 2018-04-27 |
| 1548774169 | Jessica Burgess | Dietitian, Registered | 403 Burkarth Rd, Warrensburg, MO 64093-3101 | 2017-11-17 |
| 1063934925 | Jennifer Cates | Nurse Practitioner | 403 Burkarth Rd, Warrensburg, MO 64093-3101 | 2017-07-12 |
| 1528516192 | Western Missouri Medical Center | Psychiatric Unit | 403 Burkarth Rd, Warrensburg, MO 64093 | 2016-09-13 |
| 1386197069 | Pertle Springs Emergency Physicians LLC | Physician Assistant | 403 Burkarth Rd, Warrensburg, MO 64093-3101 | 2016-07-28 |
| 1245683184 | Katie Jolliffe | Nurse Anesthetist, Certified Registered | 403 Burkarth Rd, Warrensburg, MO 64093-3101 | 2016-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841752144 | Joshua Tyler Allman | Specialist/Technologist | 500 South Maguire Street, Warrensburg, MO 64093 | 2019-04-04 |
| 1477015220 | Kelly Maurine Warford | Specialist/Technologist | Morrow 125, Warrensburg, MO 64093 | 2019-04-02 |
| 1104388958 | Kaitlyn Nicole Edison | Specialist/Technologist | 108 W South Street, Morrow 125, Warrensburg, MO 64093 | 2019-04-02 |
| 1891257663 | Mckenzie Higgins | Student in an Organized Health Care Education/Training Program | University of Central Missouri Morrow 125, Warrensburg, MO 64093 | 2019-04-02 |
| 1780142901 | Scott C Huff | Marriage & Family Therapist | Uhc 102, Warrensburg, MO 64093 | 2019-03-06 |
| 1144701079 | Summers Pharmacy of Warrensburg, LLC | Pharmacy | 611 Burkarth Rd, Warrensburg, MO 64093 | 2018-08-28 |
| 1174010037 | Stephen Joseph Sattler | Student in an Organized Health Care Education/Training Program | 108 West South Street, Morrow 125, Warrensburg, MO 64093 | 2018-04-17 |
| 1871090522 | Leah Harold | Student in an Organized Health Care Education/Training Program | 108 W. South Street, Morrow 125, Warrensburg, MO 64093 | 2018-04-10 |
| 1396245544 | Patricia J Turner | Speech-Language Pathologist | 201 S Holden Street, Po Box 638, Warrensburg, MO 64093 | 2018-02-14 |
| 1467952721 | Corie Z'hane Williams | Student in an Organized Health Care Education/Training Program | 500 S Maguire St, Warrensburg, MO 64093 | 2018-02-13 |
| Find all providers in zip 64093 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801418983 | Kelsey Houk | Pharmacy Technician | 932 Mcpherson St, Trenton, MO 64683-2261 | 2020-05-12 |
| 1861940967 | Luke Beatty | Pharmacy Technician | 2310 Bent Tree Ct, Saint Joseph, MO 64506-2400 | 2016-09-17 |
| 1902266885 | Mia Depriest | Pharmacy Technician | 4838 N Manchester Ave, Kansas City, MO 64119 | 2016-03-04 |
| 1174914600 | Jacquelyn Michele Miller | Pharmacy Technician | 3881 Mexico Road, Saint Charles, MO 63303 | 2015-02-05 |
| 1164704193 | Barbara R Klazynski-martin | Pharmacy Technician | 13897 Corporate Woods Trl, Bridgeton, MO 63044-1291 | 2011-09-15 |
| 1124329214 | Nicholas Lee Farrar | Pharmacy Technician | 2004 Mccausland Ave, Saint Louis, MO 63143-2536 | 2010-11-05 |
| 1891017356 | Debbie Lynn Haines | Pharmacy Technician | 19 Public Square, Stockton, MO 65785 | 2010-02-24 |
| 1497910707 | Robert Louis Tillman | Pharmacy Technician | 915 N Grand Ave, St. Louis, MO 63106 | 2008-07-25 |
| 1336342310 | Denise Jean Keys | Pharmacy Technician | 5300 Arsenal St., St. Louis, MO 63139-1463 | 2007-06-07 |
| 1104982388 | Tiffany Gregory | Pharmacy Technician | 600 N Springfield St, Saint James, MO 65559-9505 | 2006-12-29 |
| Find all providers with the same taxonomy | ||||
| City | WARRENSBURG |
| Zip Code | 64093 |
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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.