MILLER REXALL DRUG, INC. (NPI# 1790063428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790063428 |
| Entity Type | Organization |
| Organization Name | MILLER REXALL DRUG, INC. |
| Other Organization Name | MILLER REXALL DRUG |
| Practice Address |
115 Vine Street Macon MO 63552-1654 |
| Mailing Address |
Po Box 486 Macon MO 63552-0486 |
| Practice Telephone | 6603852167 |
| Practice Fax Number | 6603856245 |
| Mailing Telephone | 6603852167 |
| Mailing Fax Number | 6603856245 |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2011-11-18 |
| Authorized Official Name | DR. ADRIENNE MIGNON KLINGSMITH (PHARMACIST IN CHARGE) |
| Authorized Official Telephone | 6603852167 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | Y |
| Parent Organization Name | MILLER REXALL DRUG, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 2008030097 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 600122402 | 05 |
| Other Name | Type Code |
|---|---|
| Miller Rexall Drug | Doing Business As Name - Organization |
| Street Address |
115 VINE STREET |
| City | MACON |
| State | MO |
| Zip Code | 63552-1654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891194783 | Dialysis Clinic Inc | Clinic/Center | 1203 N. Missouri St, Macon, MO 63552 | 2014-08-18 |
| 1477624161 | Charles Edgar Averill Jr. | Occupational Therapist | 704a South Missouri, Macon, MO 63552 | 2006-11-13 |
| 1629035084 | Missouri Cvs Pharmacy, L.L.C. | Pharmacy | 1105 N Rutherford St, Macon, MO 63552 | 2006-04-28 |
| 1659560688 | Iris Ladawn Gaerditz | Speech-Language Pathologist | 702 N Missouri St, Macon, MO 63552 | 2007-10-16 |
| 1841316296 | Paul Vincent Lane | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0381 | 2007-03-21 |
| 1891908612 | Mid Missouri Physical Therapy | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0381 | 2007-05-08 |
| 1366568735 | Lara Beth Jones | Physical Therapist | 2005 N. Missouri St., Suite D., Macon, MO 63552-0381 | 2007-03-21 |
| 1871619262 | Abby M Lane | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0387 | 2007-03-21 |
| 1457715906 | Kimberly Oroke | Social Worker | 821 Charles St, Columbia, MO 63552-1064 | 2016-04-11 |
| 1679100507 | Macon County Sheltered Workshop | Private Vehicle | 1103 Enterprise Rd, Macon, MO 63552-1305 | 2020-03-23 |
| Find all providers in zip 63552 | ||||
| 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 |
|---|---|---|---|---|
| 1093339954 | Medical Hotspots, Inc | Durable Medical Equipment & Medical Supplies | 4794 Mercer University Dr Ste A, Macon, GA 31210-6220 | 2020-06-05 |
| 1336784966 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5581 Thomaston Rd, Macon, GA 31220-8119 | 2019-11-07 |
| 1942768536 | R-en Inc | Durable Medical Equipment & Medical Supplies | 1140 S Jackson Springs Rd, Macon, GA 31211-1439 | 2019-03-04 |
| 1154894111 | Joshua Joseph Sale | Durable Medical Equipment & Medical Supplies | 555 Poplar St Ste 25, Macon, GA 31201-2741 | 2019-01-02 |
| 1679843825 | Central Georgia Health Ventures, Inc | Durable Medical Equipment & Medical Supplies | 800 1st St Ste 100, Macon, GA 31201-8395 | 2012-01-05 |
| 1023395738 | Shelter Dean | Durable Medical Equipment & Medical Supplies | 3130 Mercer University Dr, Macon, GA 31204-5109 | 2011-11-08 |
| 1164704391 | Sleepmed of Central Georgia | Durable Medical Equipment & Medical Supplies | 606 Cherry St, Suite 440, Macon, GA 31201-2624 | 2011-09-14 |
| 1073819660 | Atlanta Prosthetics & Orthotics of Macon, LLC | Durable Medical Equipment & Medical Supplies | 869 Walnut Street, Macon, GA 31201 | 2011-01-31 |
| 1437460136 | Diabetic Care Management | Durable Medical Equipment & Medical Supplies | 219 River Hills Rdg, Macon, GA 31211-6339 | 2010-06-28 |
| 1134448558 | J.h. Harvey Co., LLC | Durable Medical Equipment & Medical Supplies | 1605 Shurling Dr, Macon, GA 31211-2150 | 2010-05-25 |
| Find all providers in MACON | ||||
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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.