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NW CARTHAGE LLC NPI 1487098448


NPI Information

NPI: 1487098448
Provider Name: NW CARTHAGE LLC

Doing Business As: EXPRESS RX OF CARTHAGE

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 26D2143069

Address:
1601 MISSOURI AVE
CARTHAGE, MO
ZIP 64836
Phone: (417) 359-8185
Get Directions

NW CARTHAGE LLC is a community/retail pharmacy pharmacy in Carthage, MO. The provider is 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. NW CARTHAGE LLC NPI is 1487098448. The provider is registered as an organization entity type.
The provider Is Doing Business As Express Rx Of Carthage.

The provider's business location address is:

1601 MISSOURI AVE
CARTHAGE, MO
ZIP 64836-060
Phone: (417) 359-8185
Fax: (417) 359-8276

The provider's authorized official is Galen Perkins .
The authorized official title is Ceo and has the following contact phone number (501) 258-4399.

The CLIA number assigned to this NPI record is 26D2143069 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/22/2013 and was last updated on 4/27/2023.


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
13336L0003XPharmacyLong Term Care PharmacyNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail Pharmacy2013012689MISSOURIYes

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
1600005462MEDICAIDMISSOURI
22140170OTHERPK

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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