CLARK COUNTY PHARMACY INC (NPI# 1669651907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669651907 |
| Entity Type | Organization |
| Organization Name | CLARK COUNTY PHARMACY INC |
| Other Organization Name | SCOTLAND COUNTY PHARMACY |
| Practice Address |
111 E Monroe St Memphis MO 63555-1437 |
| Practice Telephone | 6604652400 |
| Practice Fax Number | 6604652600 |
| Mailing Telephone | 6604652400 |
| Mailing Fax Number | 6604652600 |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2007-11-02 |
| Authorized Official Name | MARY M TURNER (BILLING AGENT) |
| Authorized Official Telephone | 6604652400 |
| Is Organization Subpart | Y |
| Parent Organization Name | CLARK COUNTY PHARMACY INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| SCOTLAND COUNTY PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811022049 | Clark County Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 250 S Johnson St, Kahoka, MO 63445-1635 | 2007-02-21 |
| 1255806774 | Clark County Pharmacy Inc | Pharmacy | 250 S Johnson St, Kahoka, MO 63445-1635 | 2018-10-11 |
| 1477689370 | Clark County Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 250 S Johnson St, Kahoka, MO 63445-1635 | 2007-02-26 |
| Street Address |
111 E MONROE ST |
| City | MEMPHIS |
| State | MO |
| Zip Code | 63555-1437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548433485 | Pkanesthesia, Inc | Nurse Anesthetist, Certified Registered | Rt 1 Box 53, Memphis, MO 63555 | 2008-04-11 |
| 1235284167 | Darrell Lynn Monroe | Chiropractor | 107 East Monroe, Memphis, MO 63555 | 2007-01-23 |
| 1952496002 | Jeanne Kay Camden | Chiropractor | 321 North Clay, Hwy 15 North, Memphis, MO 63555 | 2006-10-04 |
| 1639190069 | Randall Tobler | Obstetrics & Gynecology | Sigler Ave, R1, Memphis, MO 63555 | 2006-07-21 |
| 1043788250 | Scotland County Pharmacy Inc | Pharmacy | 445 E Grand Ave, Memphis, MO 63555 | 2018-11-06 |
| 1093894206 | Marilyn Lee Day | Nurse Practitioner | Sigler Ave, Memphis Medical, Memphis, MO 63555 | 2006-11-06 |
| 1730293705 | Robert Wayne Jackson | Internal Medicine | Sigler Ave, Memphis, MO 63555 | 2006-08-18 |
| 1306139027 | Nicholas R Rhodes | Massage Therapist | 429 W Madison St, Memphis, MO 63555-1054 | 2011-05-27 |
| 1275709610 | Harlo Lee Donelson | Dentist | 125 S Main, Memphis, MO 63555-1423 | 2008-05-06 |
| 1801038948 | Lisa Marie Peterson | Social Worker | 215 S Main St, Memphis, MO 63555-1425 | 2009-04-06 |
| Find all providers in zip 63555 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467075838 | Yolanda S Draine | Durable Medical Equipment & Medical Supplies | 420 Monroe Ave # 1413, Memphis, TN 38103-3252 | 2020-05-20 |
| 1316566490 | Anointed Crown | Durable Medical Equipment & Medical Supplies | 2696 Central Ter, Memphis, TN 38111-1614 | 2020-04-09 |
| 1366007593 | Newsome and Associates, Inc | Durable Medical Equipment & Medical Supplies | 3181 Poplar Ave Ste 215, Memphis, TN 38111-3524 | 2019-05-02 |
| 1154820397 | Advanced Orthopedic Alliance | Durable Medical Equipment & Medical Supplies | 415 S Front St, Memphis, TN 38103-6404 | 2018-02-02 |
| 1932617750 | Patterson and Associates | Durable Medical Equipment & Medical Supplies | 3181 Poplar Ave Ste 214, Memphis, TN 38111-3524 | 2018-01-15 |
| 1114442266 | Crowdconomy, LLC | Durable Medical Equipment & Medical Supplies | 7124 Crestridge Rd, Memphis, TN 38119-8706 | 2017-08-10 |
| 1659893915 | Maymacs, Inc | Durable Medical Equipment & Medical Supplies | 6005 Park Ave Ste 704, Memphis, TN 38119-5217 | 2017-07-08 |
| 1720509185 | All About Homecare, LLC | Durable Medical Equipment & Medical Supplies | 1320 Jackson Ave, Memphis, TN 38107-4351 | 2017-07-06 |
| 1598285264 | Alliance Medical Supply Inc. | Durable Medical Equipment & Medical Supplies | 1266 Sycamore View Rd Ste 101, Memphis, TN 38134-7664 | 2017-06-23 |
| 1316496250 | Jimmy Clyce Weatherly Jr. | Durable Medical Equipment & Medical Supplies | 3840 Viscount Ave, Suite 14, Memphis, TN 38118-6023 | 2016-10-03 |
| Find all providers in MEMPHIS | ||||
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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.