DALECO INC (NPI# 1629076377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629076377 |
| Entity Type | Organization |
| Organization Name | DALECO INC |
| Other Organization Name | USA CLINIC AT MINERAL AREA HOSPITAL |
| Practice Address |
1101 Weber Rd Farmington MO 63640-3352 |
| Mailing Address |
1401 S Boulder Ave Ste 300 Tulsa OK 74119-3647 |
| Practice Telephone | 5737566117 |
| Practice Fax Number | 5737565541 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2012-08-21 |
| Authorized Official Name | GALEN PERKINS (PHARMACY SERVICES COORDINATOR) |
| Authorized Official Telephone | 5012963311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2008035866 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 2624941 | 01 |
| Other Name | Type Code |
|---|---|
| USA CLINIC AT MINERAL AREA HOSPITAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124126156 | Daleco Inc | Pharmacy | 903 Benham St, Bonne Terre, MO 63628-1305 | 2006-09-21 |
| Street Address |
1101 WEBER RD |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-3352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073900874 | Kimberly Herbst | Pharmacist | 1101 Weber Rd, Farmington, MO 63640-3352 | 2015-04-20 |
| 1386921195 | Farmington Clinic Company, LLC | Family Medicine | 1101 Weber Rd, Suite 302, Farmington, MO 63640-3352 | 2011-11-08 |
| 1316223944 | Farmington Clinic Company, LLC | Family Medicine | 1101 Weber Rd, Suite 302, Farmington, MO 63640-3352 | 2011-10-27 |
| 1841574779 | Community Orthopedics & Sports Medicine, PC | Orthopaedic Surgery | 1101 Weber Rd, Suite 203, Farmington, MO 63640-3352 | 2011-10-11 |
| 1063742443 | Farmington Clinic Company LLC | Orthopaedic Surgery | 1101 Weber Rd, Suite 203, Farmington, MO 63640-3352 | 2010-01-06 |
| 1417287897 | Farmington Clinic Company LLC | Urology | 1101 Weber Rd, Suite 303, Farmington, MO 63640-3352 | 2010-01-06 |
| 1366600165 | Danielle Redecker | Pharmacist | 1101 Weber Rd, Suite 100, Farmington, MO 63640-3326 | 2008-05-28 |
| 1417128372 | Cardiology Diagnostics, Ltd. | Internal Medicine | 1101 Weber Rd, Suite 105, Farmington, MO 63640-3326 | 2008-03-19 |
| 1548459472 | Coleman Medical Clinic | Family Medicine | 1101 Weber Rd, Suite 303, Farmington, MO 63640-3326 | 2007-10-16 |
| 1750480885 | Farmington Clinic Company LLC | Family Medicine | 1101 Weber Rd, Suite 101, Farmington, MO 63640-3326 | 2006-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| 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 |
|---|---|---|---|---|
| 1033749395 | Cod Management LLC | Pharmacy | 23133 Orchard Lake Rd Ste 101, Farmington, MI 48336-3278 | 2020-01-24 |
| 1629551759 | Uconn Health Pharmacy Services Inc | Pharmacy | 270 Farmington Ave Ste 108, Farmington, CT 06032-1965 | 2018-09-14 |
| 1053801340 | Mears Pharmacy | Pharmacy | 1050 Shepard Ln Ste 1, Farmington, UT 84025-2716 | 2018-05-13 |
| 1669985396 | Pharmingtonrx, LLC | Pharmacy | 806 Valley Creek Dr, Farmington, MO 63640-1969 | 2017-11-16 |
| 1811313216 | Jill's Genuine Care Pharmacy, LLC | Pharmacy | 23354 Farmington Rd, Farmington, MI 48336-3102 | 2014-03-10 |
| 1326463936 | Four Corners Compounding | Pharmacy | 2300 E 30th St Ste B-101, Farmington, NM 87401-8991 | 2014-02-19 |
| 1205000601 | Dalco, Inc. | Pharmacy | 120 E Karsch Blvd, Farmington, MO 63640-1238 | 2008-04-16 |
| 1164585469 | Farmington Drug | Pharmacy | 507 E 20th St, Farmington, NM 87401-2105 | 2006-12-18 |
| 1154433084 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 23391 Farmington Rd, Farmington, MI 48336-3103 | 2006-08-31 |
| 1710993118 | Walgreen Co | Pharmacy | 4221 E Main St, Farmington, NM 87402-8637 | 2006-07-31 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
Please comment or provide details below to improve the information on DALECO INC.
| 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.