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FAMILY PHARMACY OF MISSOURI LLC NPI 1447225412


NPI Information

NPI: 1447225412
Provider Name: FAMILY PHARMACY OF MISSOURI LLC

Doing Business As: FAMILY PHARMACY #14

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
105 S RIDGECREST AVE
SUITE 1 & 2
NIXA, MO
ZIP 65714
Phone: (417) 724-2601
Get Directions

FAMILY PHARMACY OF MISSOURI LLC is a pharmacy in Nixa, MO. The provider is 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. FAMILY PHARMACY OF MISSOURI LLC NPI is 1447225412. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Pharmacy #14.

The provider's business location address is:

105 S RIDGECREST AVE
SUITE 1 & 2
NIXA, MO
ZIP 65714-807
Phone: (417) 724-2601
Fax: (417) 724-2621

The provider's authorized official is Lynn A Morris .
The authorized official title is Owner/president and has the following contact phone number (417) 581-4335.

The enumeration date for this NPI number is 2/22/2006 and was last updated on 4/6/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336L0003XPharmacyLong Term Care PharmacyNo
3333600000XPharmacy2004026659MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12635677OTHERMISSOURINCPDP
2606155802MEDICAIDMISSOURI
3626155808OTHERMISSOURIMEDICAID DME
44477450006MEDICARE ID-TYPE UNSPECIFIED
56045300006MEDICARE NSC
6626155808MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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