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FAMILY PHARMACY OF MISSOURI LLC NPI 1871875807


NPI Information

NPI: 1871875807
Provider Name: FAMILY PHARMACY OF MISSOURI LLC

Doing Business As: FAMILY PHARMACY #28

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1494 STATE HIGHWAY 248 STE D
BRANSON, MO
ZIP 65616
Phone: (417) 334-8117
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FAMILY PHARMACY OF MISSOURI LLC is a community/retail pharmacy pharmacy in Branson, 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. FAMILY PHARMACY OF MISSOURI LLC NPI is 1871875807. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Pharmacy #28.

The provider's business location address is:

1494 STATE HIGHWAY 248 STE D
BRANSON, MO
ZIP 65616-160
Phone: (417) 334-8117
Fax: (417) 334-8150

The provider's authorized official is Carrie Tennis .
The authorized official title is Director Of Operations and has the following contact phone number (417) 581-4335.

The enumeration date for this NPI number is 9/15/2011 and was last updated on 1/24/2014.


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
2333600000XPharmacyNo
33336C0004XPharmacyCompounding PharmacyNo
43336L0003XPharmacyLong Term Care PharmacyNo
53336M0003XPharmacyManaged Care Organization PharmacyNo
63336S0011XPharmacySpecialty PharmacyNo
73336C0003XPharmacyCommunity/Retail Pharmacy2011029958MISSOURIYes

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
16045300008MEDICARE NSC
21871875807MEDICAIDMISSOURI
32639839OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

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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