SUMMERS PHARMACY OF NEVADA LLC (NPI# 1700359825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700359825 |
| Entity Type | Organization |
| Organization Name | SUMMERS PHARMACY OF NEVADA LLC |
| Other Organization Name | COMMUNITY PHARMACY - LONG-TERM CARE |
| Practice Address |
900 S Adams St Nevada MO 64772-3210 |
| Mailing Address |
605 Pawnee St Clinton MO 64735-2757 |
| Practice Telephone | 4176676044 |
| Mailing Telephone | 6603831910 |
| Mailing Fax Number | 6608855888 |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2020-10-12 |
| Authorized Official Name | RYAN KENT SUMMERS (PRESIDENT/PHARMACIST) |
| Authorized Official Telephone | 6608853034 |
| Is Organization Subpart | Y |
| Parent Organization Name | SUMMERS PHARMACY ENTERPRISES, CORP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Community Pharmacy - Long-Term Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013081090 | Summers Pharmacy of Nevada LLC | Pharmacy | 900 S Adams St, Nevada, MO 64772-3210 | 2006-11-20 |
| Street Address |
900 S ADAMS ST |
| City | NEVADA |
| State | MO |
| Zip Code | 64772-3210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104821867 | Nevada Medical Clinic L.L.C. | Family Medicine | 900 S Adams St, Nevada, MO 64772-3210 | 2005-06-17 |
| 1063909711 | Caitlin Anne Elmore | General Practice | 900 S Adams St, Nevada, MO 64772-3210 | 2018-04-18 |
| 1770948119 | Nevada Medical Clinic L.L.C. | Clinic/Center | 900 S Adams St, Nevada, MO 64772-3210 | 2015-12-30 |
| 1528437936 | Katherine M Williams | Nurse Practitioner | 900 S Adams St, Nevada, MO 64772-3210 | 2015-09-16 |
| 1609298090 | Kelly Mclemore | Nurse Practitioner | 900 S Adams St, Nevada, MO 64772-3210 | 2014-01-20 |
| 1740553395 | Lori Bartlett | Pharmacist | 900 S Adams St, Nevada, MO 64772-3210 | 2012-02-13 |
| 1982987343 | Sarah Elaine Dodson | Pharmacist | 900 S Adams St, Nevada, MO 64772-3210 | 2011-09-22 |
| 1972753648 | Sherri Eador | Nurse Practitioner | 900 S Adams St, Nevada, MO 64772-3210 | 2008-09-30 |
| 1528222460 | Ryan Harrison | Family Medicine | 900 S Adams St, Nevada Medical Clinic, LLC, Nevada, MO 64772-3210 | 2008-07-10 |
| 1184740003 | Community Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 900 S Adams St, Nevada, MO 64772-3210 | 2007-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184116170 | Elizabeth Hoang | Dentist | 14054 Us-54, Nevada, MO 64772 | 2018-06-05 |
| 1376056424 | Chelsea Deines | Social Worker | 19940 S. 1481 Road, Nevada, MO 64772 | 2017-11-13 |
| 1558712422 | Ozark Tri County Healthcare Consortium | Dentist | 204 N Cedar, Nevada, MO 64772 | 2016-06-22 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1205233129 | Julie Ann Parker | Dental Hygienist | 204 North Cedar, Nevada, MO 64772 | 2014-11-20 |
| 1023432101 | Ashley Mckinney | Speech-Language Pathologist | 811 W Hickory, Nevada, MO 64772 | 2014-02-11 |
| 1477975183 | Krc 1505 Health Care Services LLC | Assisted Living Facility | 1505 East Ashland Street, Nevada, MO 64772 | 2014-01-15 |
| 1649520727 | Kathy J Hallam | Registered Nurse | 320 N Mac Boulevard, Nevada, MO 64772 | 2012-09-14 |
| 1396090916 | Emily Lane | Speech-Language Pathologist | 16927 S 1413 Rd, Nevada, MO 64772 | 2012-07-19 |
| 1427385517 | Nevada City Hospital | Clinic/Center | 345 S Barrett Ln., Nevada, MO 64772 | 2009-11-10 |
| Find all providers in zip 64772 | ||||
| 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 |
|---|---|---|---|---|
| 1033608518 | Gerald Howard Beisner | Pharmacy | 125 S Washington St Ste 200, Nevada, MO 64772-3329 | 2018-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033534 | Good Graces, LLC | Pharmacy | 857 E Main Street, Ste 3 - 5, Willow Springs, MO 65793 | 2020-11-03 |
| 1780298406 | Healthdirect Institutional Pharmacy Services, Inc. | Pharmacy | 4083 N State Highway Nn, Ozark, MO 65721-7201 | 2020-09-01 |
| 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 |
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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.