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KB OSCEOLA DRUG LLC NPI 1831640275


NPI Information

NPI: 1831640275
Provider Name: KB OSCEOLA DRUG LLC

Doing Business As: EVANS DRUGS

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 26D2254415

Address:
675 3RD ST
OSCEOLA, MO
ZIP 64776
Phone: (417) 646-2301
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KB OSCEOLA DRUG LLC is a community/retail pharmacy pharmacy in Osceola, 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. KB OSCEOLA DRUG LLC NPI is 1831640275. The provider is registered as an organization entity type.
The provider Is Doing Business As Evans Drugs.

The provider's business location address is:

675 3RD ST
OSCEOLA, MO
ZIP 64776-934
Phone: (417) 646-2301
Fax: (417) 646-2456

The provider's authorized official is Tracy Timmermann .
The authorized official title is Manager,ao and has the following contact phone number (417) 876-3313.

The CLIA number assigned to this NPI record is 26D2254415 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/20/2016 and was last updated on 4/11/2020.


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
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care PharmacyNo
33336C0003XPharmacyCommunity/Retail Pharmacy2016042638MISSOURIYes

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
1600038893MEDICAIDMISSOURI
22164581OTHERPK

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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