The Other Side Home Health Equipment and Supply

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

THE OTHER SIDE HOME HEALTH EQUIPMENT AND SUPPLY

Practice address

909 W Pine St
Poplar Bluff, MO 63901-4958

Phone

(573) 785-4300

NPI assigned

Jun 27, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Geana Chaligoj

Title

Owner

Phone

(573) 785-4300

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1003102153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 W PINE ST",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639014958",
            "telephone_number": "573-785-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 W PINE ST",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639014958",
            "telephone_number": "573-785-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OTHER SIDE HOME HEALTH EQUIPMENT AND SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "CHALIGOJ",
        "authorized_official_first_name": "GEANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-785-4300"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.