KCJSE INC (NPI# 1821083312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821083312 |
| Entity Type | Organization |
| Organization Name | KCJSE INC |
| Other Organization Name | THE DRUG STORE |
| Practice Address |
610 N Walnut St Cameron MO 64429-1831 |
| Practice Telephone | 8166327211 |
| Practice Fax Number | 8166323645 |
| Mailing Telephone | 8166327211 |
| Mailing Fax Number | 8166323645 |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2020-04-29 |
| Authorized Official Name | JS ERICKSON (CEO) |
| Authorized Official Telephone | 8166327211 |
| Authorized Official Credential | PHARMACY |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
004493 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 600280101 | 05 | |
| MO | 620028100 | 05 | |
| PK | 2049743 | 01 |
| Other Name | Type Code |
|---|---|
| THE DRUG STORE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700946951 | Kcjse Inc | Durable Medical Equipment & Medical Supplies | 610 North Walnut, Cameron, MO 64429 | 2006-12-11 |
| Street Address |
610 N WALNUT ST |
| City | CAMERON |
| State | MO |
| Zip Code | 64429-1831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609498492 | Marci Rhea Cline | Nurse Practitioner | 901 N Walnut, Cameron, MO 64429 | 2020-05-14 |
| 1679116743 | Heartland Hearing Center | Hearing Instrument Specialist | 616 Lana, Cameron, MO 64429 | 2019-10-22 |
| 1801283601 | Sabeen Khaliq | Psychiatry & Neurology | 1600 E Evergreen Street, Cameron, MO 64429 | 2015-04-20 |
| 1982975363 | Stephanie Caldwell | Physical Therapy Assistant | 1007 Ensign, Apt. D, Cameron, MO 64429 | 2012-01-18 |
| 1568775377 | Renee K Hahn | Physical Therapy Assistant | 612 N Cedar St, Cameron, MO 64429 | 2010-07-21 |
| 1548587934 | Betsy Anne Fox Mcclure | Family Medicine | 2401 Se Hwy 36, Cameron, MO 64429 | 2010-04-26 |
| 1427239318 | Laura Leigh Harbison | Family Medicine | 221 E 7th, Cameron, MO 64429 | 2007-11-19 |
| 1750560611 | Audrey Christine Niemann | Speech-Language Pathologist | 1405 West Grand Avenue, Cameron, MO 64429 | 2007-10-29 |
| 1902097439 | Shahzad Shafique | Internal Medicine | 1600 E Evergreen St., Cameron Regional Medical Center, Cameron, MO 64429 | 2007-08-08 |
| 1376734145 | Douglas A Wyckoff Dds PC | Dentist | 1801 N Walnut, Cameron, MO 64429 | 2007-08-07 |
| Find all providers in zip 64429 | ||||
| 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 |
|---|---|---|---|---|
| 1750692760 | Baylor Health Enterprises Lp | Pharmacy | 101 Lafferty Ave Ste A, Cameron, TX 76520-3685 | 2010-06-24 |
| 1548367048 | Cvs Pharmacy Inc | Pharmacy | 1605 W 4th St, Suite 12, Cameron, TX 76520 | 2006-09-20 |
| 1679764674 | Cameron Drug Store, Inc | Pharmacy | 1 Bridge St, Cameron, WV 26033-1130 | 2007-08-05 |
| 1255341293 | Dusek Pharmacy | Pharmacy | 112 W 1st St, Cameron, TX 76520-3302 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374629 | Curators of The University of Missouri | Pharmacy | 7115 East St. Charles Road, Columbia, MO 65202 | 2020-10-21 |
| 1376141143 | Phillips Pharmacy, LLC | Pharmacy | 7278 State Highway 14 E, Sparta, MO 65753-9345 | 2020-10-14 |
| 1013527761 | Rpcs, Inc. | Pharmacy | 18128 State Hwy 13, Branson West, MO 65737 | 2020-08-07 |
| 1205446184 | Rpcs, Inc. | Pharmacy | 200 Southtowne Blvd, Hollister, MO 65672-9610 | 2020-08-05 |
| 1912517897 | Rpcs, Inc. | Pharmacy | 1447 State Highway 248 Ste J, Branson, MO 65616-8161 | 2020-08-05 |
| 1245849801 | Rpcs Inc | Pharmacy | 163 W Old Mill Rd, Fair Grove, MO 65648-7918 | 2020-07-29 |
| 1760005219 | Meta Pharmacy Solutions | Pharmacy | 108 Triad Ctr W, O Fallon, MO 63366-7541 | 2020-05-19 |
| 1437778172 | Harps Food Stores, Inc | Pharmacy | 707 Specialty Dr, Dexter, MO 63841-2718 | 2020-04-13 |
| 1013540038 | Auburn Pharmacy Inc | Pharmacy | 810 W 35th St Ste 101, Higginsville, MO 64037-1865 | 2020-02-18 |
| 1801428495 | Scpg Missouri LLC | Pharmacy | 501 South Madison Ave, Suite S, Webb City, MO 64870 | 2020-02-11 |
| Find all providers with the same taxonomy | ||||
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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.