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WHALEYS PHARMACY INC NPI 1568546307


NPI Information

NPI: 1568546307
Provider Name: WHALEYS PHARMACY INC

Doing Business As: WHALEY'S SOUTHWEST PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
1431 SOUTHWEST BLVD
JEFFERSON CITY, MO
ZIP 65109
Phone: (573) 634-3606
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WHALEYS PHARMACY INC is a long term care pharmacy pharmacy in Jefferson City, MO. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. WHALEYS PHARMACY INC NPI is 1568546307. The provider is registered as an organization entity type.
The provider Is Doing Business As Whaley's Southwest Pharmacy.

The provider's business location address is:

1431 SOUTHWEST BLVD
JEFFERSON CITY, MO
ZIP 65109-468
Phone: (573) 634-3606
Fax: (573) 634-6206

The provider's authorized official is Trevor Isringhausen .
The authorized official title is Managing Pharmacist and has the following contact phone number (573) 634-3606.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 2/19/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
33336L0003XPharmacyLong Term Care Pharmacy2000143574MISSOURIYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1604791301MEDICAIDMISSOURI
22048333OTHERPK
3600198915MEDICAIDMISSOURI

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: 11/14/2023

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