MISSOURI CANCER CARE PHARMACY (NPI# 1992871719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992871719 |
| Entity Type | Organization |
| Organization Name | MISSOURI CANCER CARE PHARMACY |
| Practice Address |
1705 E Broadway Suite 100 Columbia MO 65201-7166 |
| Practice Telephone | 5738178527 |
| Practice Fax Number | 5734494246 |
| Mailing Telephone | 5738178527 |
| Mailing Fax Number | 5734494246 |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2010-09-16 |
| Authorized Official Name | MRS. DEBRA D TESORO (PHARMACY MANAGER) |
| Authorized Official Telephone | 5738178527 |
| Authorized Official Credential | RPH BCOP |
| Is Organization Subpart | Y |
| Parent Organization Name | MISSOURI CANCER ASSOCIATES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 2000151351 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 608518809 | 05 |
| Street Address |
1705 E BROADWAY SUITE 100 |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201-7166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568467546 | Paula Jean Mcmurtry | Internal Medicine | 1705 E Broadway, Suite 220, Columbia, MO 65201 | 2005-06-16 |
| 1356804637 | Lab One LLC | Clinical Medical Laboratory | 1705 E Broadway, Columbia, MO 65201-7166 | 2019-04-12 |
| 1861887689 | Lauren Wood Breshears | Registered Nurse | 1705 E Broadway, Suite 220, Columbia, MO 65201-7166 | 2015-03-30 |
| 1205172301 | Kimberly Shan Adams | Nurse Practitioner | 1705 E Broadway, Suite 220, Columbia, MO 65201-7166 | 2012-12-17 |
| 1609129816 | Denise L Swenson | Social Worker | 1705 E Broadway, Suite 100, Columbia, MO 65201-7166 | 2012-10-25 |
| 1255603809 | William James Crowley Jr. | Family Medicine | 1705 E Broadway, Suite 280, Columbia, MO 65201-7166 | 2012-01-29 |
| 1730495250 | Liana Makarian | Internal Medicine | 1705 E Broadway, Columbia, MO 65201-7166 | 2010-08-21 |
| 1588848014 | W. Mike See Md PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1705 E Broadway, 340, Columbia, MO 65201-7166 | 2007-12-19 |
| 1851463756 | Gregory B Biedermann | Internal Medicine | 1705 E Broadway, Ste 100, Columbia, MO 65201-7166 | 2006-11-15 |
| 1760590376 | Urology Consultants of Central Missouri | Urology | 1705 E Broadway, Suite 340, Columbia, MO 65201-7166 | 2006-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
| 1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
| 1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
| 1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
| 1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
| 1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
| Find all providers in zip 65201 | ||||
| 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 |
|---|---|---|---|---|
| 1215561527 | Caldwell Drug | Pharmacy | 8141 Us Hwy. 165, Columbia, LA 71418 | 2020-02-25 |
| 1710479035 | Kilgore Inc | Pharmacy | 1901 Corporate Pl, Columbia, MO 65202-3700 | 2018-06-01 |
| 1861931578 | Chemist LLC | Pharmacy | 908 Highway 13 S, Columbia, MS 39429-3590 | 2017-02-14 |
| 1578015509 | Carolina Family Pharmacy, LLC | Pharmacy | 9153 Two Notch Road, Columbia, SC 29223 | 2016-10-25 |
| 1982099107 | Columbia Town Center Pharmacy | Pharmacy | 5550 Sterrett Pl Ste 103, Columbia, MD 21044-2625 | 2015-04-03 |
| 1417364662 | North Century Pharmacy, Inc. | Pharmacy | 3058 Campbellsville Rd, Columbia, KY 42728-9511 | 2014-07-21 |
| 1104269620 | American Specialty Pharmacy Inc | Pharmacy | 5500 Knoll North Dr Ste 140, Columbia, MD 21045-2360 | 2013-04-15 |
| 1073860367 | Panda Investment Partners LLC | Pharmacy | 301 Rice Meadow Way Ste 5, Columbia, SC 29229-8404 | 2012-08-06 |
| 1821357120 | Wegmans Food Markets, Inc. | Pharmacy | 8855 Mcgaw Rd, Columbia, MD 21045-4713 | 2012-05-08 |
| 1770849424 | Compounder, LLC | Pharmacy | 6345 Woodside Court #102, Columbia, MD 21046-3224 | 2012-04-06 |
| Find all providers in COLUMBIA | ||||
Please comment or provide details below to improve the information on MISSOURI CANCER CARE PHARMACY.
| 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.