TIM MITCHELL MEDICAL INC NPI 1437650835

NPI Information

  • NPI: 1437650835
  • Provider Name: TIM MITCHELL MEDICAL, INC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Doing Business As: MITCHELL'S LONG TERM CARE PHARMACY
  • CLIA Number: 26D1007461
  • Address: 719 S NEOSHO BLVD STE A
    NEOSHO, MO
    ZIP 64850
  • Phone: (417) 451-9501

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NPI Details

TIM MITCHELL MEDICAL, INC is a long term care pharmacy pharmacy in Neosho, 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. TIM MITCHELL MEDICAL, INC NPI is 1437650835. The provider is registered as an organization entity type.
The provider Is Doing Business As Mitchell's Long Term Care Pharmacy.

The provider's business location address is:

719 S NEOSHO BLVD STE A
NEOSHO, MO
ZIP 64850-051
Phone: (417) 451-9501
Fax: (417) 455-2781

The provider's authorized official is Timothy G Mitchell .
The authorized official title is Owner/manager and has the following contact phone number (417) 451-9501.

The CLIA number assigned to this NPI record is 26D1007461 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2018 and was last updated on 2/14/2019.

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 Pharmacy2003027740MISSOURIYes

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
1602932303MEDICAIDMISSOURI

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: 3/30/2025

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