MISSOURI VALLEY RESPIRATORY PHARMACY LLC (NPI# 1730562968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730562968 |
| Entity Type | Organization |
| Organization Name | MISSOURI VALLEY RESPIRATORY PHARMACY LLC |
| Other Organization Name | MISSOURI VALLEY RESPIRATORY PHARMACY |
| Practice Address |
107 E Ann St Malta Bend MO 65339-1016 |
| Practice Telephone | 6605952142 |
| Mailing Telephone | 6605952142 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |
| Authorized Official Name | BILL CAVINESS (RPH) |
| Authorized Official Telephone | 6605952142 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
2015018905 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2152955 | 01 |
| Other Name | Type Code |
|---|---|
| Missouri Valley Respiratory Pharmacy | Doing Business As Name - Organization |
| Street Address |
107 E ANN ST |
| City | MALTA BEND |
| State | MO |
| Zip Code | 65339-1016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801083670 | Kathy L Wilson | Occupational Therapist | 200 S Linn St, Malta Bend, MO 65339 | 2007-09-26 |
| 1376684050 | Jill M Hagan | Speech-Language Pathologist | 200 South Linn, Malta Bend, MO 65339-0010 | 2007-02-08 |
| 1760523443 | County of Saline Malta Bend R-v School | Local Education Agency (LEA) | 200 South Linn Street, Malta Bend, MO 65339-0010 | 2007-02-08 |
| 1497036982 | Patricia Dierking | Speech-Language Pathologist | 2003 1st St, Grand Pass, MO 65339-1200 | 2011-08-29 |
| 1417114372 | Susan Todd | Counselor | Rr 1 Box 108, Malta Bend, MO 65339-9719 | 2008-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417114372 | Susan Todd | Counselor | Rr 1 Box 108, Malta Bend, MO 65339-9719 | 2008-05-19 |
| 1801083670 | Kathy L Wilson | Occupational Therapist | 200 S Linn St, Malta Bend, MO 65339 | 2007-09-26 |
| 1376684050 | Jill M Hagan | Speech-Language Pathologist | 200 South Linn, Malta Bend, MO 65339-0010 | 2007-02-08 |
| 1760523443 | County of Saline Malta Bend R-v School | Local Education Agency (LEA) | 200 South Linn Street, Malta Bend, MO 65339-0010 | 2007-02-08 |
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144701079 | Summers Pharmacy of Warrensburg, LLC | Pharmacy | 611 Burkarth Rd, Warrensburg, MO 64093 | 2018-08-28 |
| 1124566989 | Apollo Care, LLC | Pharmacy | 3801 Mojave Ct, Ste 101, Columbia, MO 65202-4042 | 2017-02-01 |
| 1356796080 | Sjz Healthcare | Pharmacy | 608 E Lockwood Ave, Webster Groves, MO 63119-3219 | 2016-05-02 |
| 1346602117 | Woods Supermarket Inc | Pharmacy | 1400 S Limit Ave Ste 3, Sedalia, MO 65301-5119 | 2016-03-22 |
| 1932570108 | Missouri Health Infusion | Pharmacy | 2319 Weldon Pkwy, Saint Louis, MO 63146-3207 | 2015-10-14 |
| 1376919043 | Duffett Holdings 2, LLC | Pharmacy | 545 S Business Highway 13, Lexington, MO 64067-1437 | 2015-08-18 |
| 1538576152 | Krishna Healthmeds LLC | Pharmacy | 4885 Mexico Rd, Saint Peters, MO 63376-2577 | 2014-07-15 |
| 1336561117 | Gosney Ltc | Pharmacy | 2902 Saint Marys Ave, Hannibal, MO 63401-3715 | 2014-01-13 |
| 1174872113 | Curators of The University of Missouri | Pharmacy | 911 E Rollins St Rm 1207a, Columbia, MO 65201-5124 | 2012-09-06 |
| 1982962361 | Leehar Distributors, LLC | Pharmacy | 701 Emerson Rd, Ste 332, Creve Coeur, MO 63141 | 2012-04-24 |
| Find all providers with the same taxonomy | ||||
| City | MALTA BEND |
| Zip Code | 65339 |
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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.