FAMILY PHARMACY OF MISSOURI LLC (NPI# 1881669208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881669208 |
| Entity Type | Organization |
| Organization Name | FAMILY PHARMACY OF MISSOURI LLC |
| Other Organization Name | FAMILY PHARMACY #16 |
| Practice Address |
49 E Old Mill Rd Fair Grove MO 65648-8452 |
| Mailing Address |
Po Box 244 Fair Grove MO 65648-0244 |
| Practice Telephone | 4177596300 |
| Practice Fax Number | 4177596305 |
| Mailing Telephone | 4177596300 |
| Mailing Fax Number | 4177596305 |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2017-04-06 |
| Authorized Official Name | LYNN A MORRIS (PRESIDENT) |
| Authorized Official Telephone | 4177596300 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 2004031235 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 606166601 | 05 | |
| MO | NCPDP | 2635766 | 01 |
| MO | MEDICAID DME | 626166607 | 01 |
| MO | 626166607 | 05 |
| Other Name | Type Code |
|---|---|
| Family Pharmacy #16 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871875807 | Family Pharmacy of Missouri LLC | Durable Medical Equipment & Medical Supplies | 1494 State Highway 248 Ste D, Branson, MO 65616-8160 | 2011-09-15 |
| 1518263110 | Family Pharmacy of Missouri LLC | Durable Medical Equipment & Medical Supplies | 6809 State Highway 14 W Ste F, Clever, MO 65631-6799 | 2011-01-31 |
| 1528362480 | Family Pharmacy of Missouri LLC | Durable Medical Equipment & Medical Supplies | 225 Cross Creek Blvd Ste A, Branson, MO 65616-7520 | 2011-01-06 |
| 1033217062 | Family Pharmacy of Missouri LLC | Durable Medical Equipment & Medical Supplies | 1326 W Broadway St, Bolivar, MO 65613-1815 | 2006-09-21 |
| 1811962889 | Family Pharmacy of Missouri LLC | Durable Medical Equipment & Medical Supplies | 180 Mall Rd, Suite A & B, Hollister, MO 65672-9602 | 2006-02-22 |
| 1366417214 | Family Pharmacy of Missouri LLC | Durable Medical Equipment & Medical Supplies | 924 W Mt Vernon, Nixa, MO 65714 | 2006-02-22 |
| 1144295015 | Family Pharmacy of Missouri LLC | Durable Medical Equipment & Medical Supplies | 14974 State Hwy 160, Forsyth, MO 65653 | 2006-02-22 |
| 1144295569 | Family Pharmacy of Missouri LLC | Durable Medical Equipment & Medical Supplies | 759 W Washington St, Marshfield, MO 65706-2234 | 2006-02-20 |
| 1538134945 | Family Pharmacy of Missouri LLC | Durable Medical Equipment & Medical Supplies | 18192 Business 13 Ste A, Branson West, MO 65737-8637 | 2006-02-20 |
| 1679548523 | Family Pharmacy of Missouri LLC | Durable Medical Equipment & Medical Supplies | 432 S Mill St, Rogersville, MO 65742-7601 | 2006-02-22 |
| Street Address |
49 E OLD MILL RD |
| City | FAIR GROVE |
| State | MO |
| Zip Code | 65648-8452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629557202 | Smith Management Services, LLC | Durable Medical Equipment & Medical Supplies | 49 E Old Mill Rd, Fair Grove, MO 65648-8452 | 2018-08-14 |
| 1972888055 | Jereme Ajaz Azeez | Pharmacist | 49 E Old Mill Rd, Fair Grove, MO 65648-8452 | 2011-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831748755 | Evelyn Kerby | Technician | 2693 E. State Hwy Kk, Fair Grove, MO 65648 | 2019-09-04 |
| 1457542706 | Shawn Nolen Rice | Psychiatry & Neurology | 14 Red Fern Ln, Fair Grove, MO 65648-4100 | 2007-08-01 |
| 1245849801 | Rpcs Inc | Pharmacy | 163 W Old Mill Rd, Fair Grove, MO 65648-7918 | 2020-07-29 |
| 1700342680 | Jessica Cobban | Student in an Organized Health Care Education/Training Program | 11178 N Farm Road 221, Fair Grove, MO 65648-8172 | 2019-02-15 |
| 1497909410 | Clyde Norman Shealy | Neurological Surgery | 5607 S 222nd Rd, Fair Grove, MO 65648-8192 | 2008-11-05 |
| 1881905099 | Kathy L. Brite | Occupational Therapy Assistant | 406 Northview Cir E, Fair Grove, MO 65648-8426 | 2010-06-23 |
| 1073113155 | Lester E Cox Medical Centers | Nurse Practitioner | 132 N Main St, Fair Grove, MO 65648-8436 | 2020-10-28 |
| 1639667306 | Kayce Knaup | Psychologist | 132 N Main St, Fair Grove, MO 65648-8436 | 2018-04-27 |
| 1881181725 | Katie Larue | Speech-Language Pathologist | 132 N Main St, Fair Grove, MO 65648-8436 | 2018-04-17 |
| 1033616255 | Emma Letterman | Speech-Language Pathologist | 132 N Main St, Fair Grove, MO 65648-8436 | 2018-04-13 |
| Find all providers in zip 65648 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506437 | E Health Pharmacy, LLC | Pharmacy | 411d Northview Rd, Nixa, MO 65714-8679 | 2020-10-26 |
| 1750994869 | Script Partner Pharmacy LLC | Pharmacy | 100 Chesterfield Bus Pkwy Ste 279, Chesterfield, MO 63005-1271 | 2020-08-28 |
| 1821600545 | Debbie S Pharmacy LLC | Pharmacy | 815 Hazelwest Dr Ste 100, Hazelwood, MO 63042-1762 | 2020-08-24 |
| 1689285082 | Logan & Seiler Inc | Pharmacy | 102 Hospitality Drive, Suite B, Sikeston, MO 63801 | 2020-08-11 |
| 1023626389 | Lemonaid Community Pharmacy, Inc | Pharmacy | 7580 Watson Rd, Saint Louis, MO 63119-4409 | 2020-07-22 |
| 1689207870 | Washington University Cancer Center Pharmacy - North County | Pharmacy | 1225 Graham Rd Fl 1, Florissant, MO 63031-8012 | 2020-02-17 |
| 1942847413 | Southeast Hospital | Pharmacy | 2600 E. Main Street, Suite 113, Jackson, MO 63755 | 2019-12-04 |
| 1720624323 | Toney Drug & Wellness, LLC | Pharmacy | #1 Hals Plaza Dr, Piedmont, MO 63957 | 2019-11-19 |
| 1427606912 | Medley Pharmacy Inc | Pharmacy | 1024 S Bishop Ave, Rolla, MO 65401-4416 | 2019-08-28 |
| 1013479716 | Cerner Health Connections, Inc. | Pharmacy | 1403 Hampton Avenue, St. Louis, MO 63139 | 2019-04-02 |
| Find all providers with the same taxonomy | ||||
| City | FAIR GROVE |
| Zip Code | 65648 |
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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.