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CRAIN MOXEY PHARM INC NPI 1740352533


NPI Information

NPI: 1740352533
Provider Name: CRAIN MOXEY PHARM INC

Doing Business As: MEDICINE SHOPPE

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
613 S MAIN ST
SIKESTON, MO
ZIP 63801
Phone: (573) 472-2622
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CRAIN MOXEY PHARM INC is a community/retail pharmacy pharmacy in Sikeston, 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. CRAIN MOXEY PHARM INC NPI is 1740352533. The provider is registered as an organization entity type.
The provider Is Doing Business As Medicine Shoppe.

The provider's business location address is:

613 S MAIN ST
SIKESTON, MO
ZIP 63801-041
Phone: (573) 472-2622
Fax: (573) 472-2623

The provider's authorized official is Ernie Moxey .
The authorized official title is Owner Pharmacist and has the following contact phone number (573) 472-2622.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 3/7/2023.


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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities003799MISSOURINo
2332B00000XDurable Medical Equipment & Medical Supplies003799MISSOURINo
33336C0003XPharmacyCommunity/Retail PharmacyYes

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
1621176908MEDICAIDMISSOURI
22617578OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
3851176909MEDICAIDMISSOURI
4601176902MEDICAIDMISSOURI

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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