RANDOLPH MEDICAL PLUS LLC (NPI# 1952327108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952327108 |
| Entity Type | Organization |
| Organization Name | RANDOLPH MEDICAL PLUS LLC |
| Other Organization Name | RANDOLPH DRUG STORE |
| Practice Address |
301 S Polk St Maysville MO 64469-4037 |
| Mailing Address |
Po Box 235 Maysville MO 64469-0235 |
| Practice Telephone | 8164492700 |
| Practice Fax Number | 8164495624 |
| Mailing Telephone | 8164492700 |
| Mailing Fax Number | 8164495624 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2016-01-12 |
| Authorized Official Name | MR. KENTON WILLIAM RANDOLPH (OFFICER) |
| Authorized Official Telephone | 8164492700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
2001024010 | MO | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2001024010 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 600284814 | 05 |
| Other Name | Type Code |
|---|---|
| Randolph Drug Store | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205828381 | Randolph Medical Plus LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2303 S 22nd St, Saint Joseph, MO 64503-2811 | 2005-08-16 |
| Street Address |
301 S POLK ST |
| City | MAYSVILLE |
| State | MO |
| Zip Code | 64469-4037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285682633 | N & R of Maysville, LLC | Skilled Nursing Facility | 1201 S Polk St, Maysville, MO 64469-4028 | 2006-05-05 |
| 1063606408 | Ginger R Neill Bundy | Occupational Therapy Assistant | 1201 S Polk St, Maysville, MO 64469-4028 | 2007-08-29 |
| 1689646358 | Frederick D Kiehl | Family Medicine | 1007 S Polk St, Maysville, MO 64469-4030 | 2006-02-06 |
| 1093188807 | Cameron Regional Medical Center Inc | Clinic/Center | 1007 S Polk St, Maysville, MO 64469-4030 | 2015-11-03 |
| 1881009538 | Srivani Chunchulu | Internal Medicine | 1007 S Polk St, Maysville, MO 64469-4030 | 2014-06-20 |
| 1215150735 | Northwest Family Health, Inc. | Family Medicine | 1007 S Polk St, Maysville, MO 64469-4030 | 2007-04-11 |
| 1477525152 | Elisa Eh Vinyard | Family Medicine | 1007 S Polk St, Maysville, MO 64469-4030 | 2006-02-06 |
| 1164638409 | Bristol Care, Inc. | Assisted Living Facility | 604 S Polk St, Maysville, MO 64469-4033 | 2007-05-15 |
| 1245569383 | Dekalb County Reorganized School District R-i | Local Education Agency (LEA) | 601 W Main St, Maysville, MO 64469-8231 | 2009-12-21 |
| 1477550937 | Dekalb Clinton Ambulance District No 1 | Ambulance | 261 Se Offutt Rd, Po 501, Maysville, MO 64469-9149 | 2005-06-30 |
| Find all providers in zip 64469 | ||||
| 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 |
|---|---|---|---|---|
| 1528183720 | Maysville Pharmacy, Inc. | Pharmacy | 8761 Maysville Road, Maysville, GA 30558 | 2007-03-20 |
| 1932247335 | Medical Arts Pharmacy of Maysville Ky Inc | Pharmacy | 1 West Mcdonald Pkwy, Maysville, KY 41056-1164 | 2007-02-01 |
| 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 | ||||
Please comment or provide details below to improve the information on RANDOLPH MEDICAL PLUS LLC.
| 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.