SUMMERS PHARMACY OF KEARNEY CORP. NPI 1255930772

NPI Information

NPI: 1255930772
Provider Name: SUMMERS PHARMACY OF KEARNEY, CORP.
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 26D2198429

Address:
101 W 92 HWY STE A
KEARNEY, MO
ZIP 64060
Phone: (816) 635-7005
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SUMMERS PHARMACY OF KEARNEY, CORP. is a long term care pharmacy pharmacy in Kearney, 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, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. SUMMERS PHARMACY OF KEARNEY, CORP. NPI is 1255930772. The provider is registered as an organization entity type.

The provider's business location address is:

101 W 92 HWY STE A
KEARNEY, MO
ZIP 64060-591
Phone: (816) 635-7005
Fax: (816) 635-7007

The provider's authorized official is Ryan Kent Summers .
The authorized official title is Owner and has the following contact phone number (660) 885-3034.

The CLIA number assigned to this NPI record is 26D2198429 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2020 and was last updated on 10/26/2020.

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
1	3336L0003X	Pharmacy	Long Term Care Pharmacy			Yes

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
1	600086844	MEDICAID	MISSOURI

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

NPI Synchronization or Removal

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