ALLIANT LTC PHARMACY LLC NPI 1306324173

NPI Information

  • NPI: 1306324173
  • Provider Name: ALLIANT LTC PHARMACY LLC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Former Legal Business Name: JOHN'S RX SOUTHWEST LLC
  • CLIA Number: 26D2204262
  • Address: 5497 N 17TH ST
    OZARK, MO
    ZIP 65721
  • Phone: (417) 485-6200

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NPI Details

ALLIANT LTC PHARMACY LLC is a long term care pharmacy pharmacy in Ozark, 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. ALLIANT LTC PHARMACY LLC NPI is 1306324173. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is John's Rx Southwest Llc.

The provider's business location address is:

5497 N 17TH ST
OZARK, MO
ZIP 65721-663
Phone: (417) 485-6200
Fax: (417) 485-6201

The provider's authorized official is Mark Mcmullin .
The authorized official title is Owner and has the following contact phone number (573) 290-2332.

The CLIA number assigned to this NPI record is 26D2204262 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 8/2/2018 and was last updated on 10/13/2021.

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
13336L0003XPharmacyLong Term Care PharmacyMISSOURIYes

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
11306324173MEDICAIDMISSOURI

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: 11/21/2025

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