Teaco, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

TEACO, INC

Doing business as

Downtown Pharmacy

Practice address

123 1St St
Kennett, MO 63857-2051

Phone

(573) 888-9094

NPI assigned

Mar 28, 2014

Organization subpart

No

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

Authorized official

Name

Jerid Maddox, PHARM.D.

Title

Owner

Phone

(573) 888-6673

Specialties & licenses 1

Addresses

Other names 1

• Downtown Pharmacy Doing business as

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1003234931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 TEACO RD",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638573721",
            "telephone_number": "573-888-6673",
            "fax_number": "573-888-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 1ST ST",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638572051",
            "telephone_number": "573-888-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEACO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "MADDOX",
        "authorized_official_first_name": "JERID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-888-6673",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downtown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sinforiano Tangonan, MD
• Laura Tansil, LPN
• Sarah Elizabeth Tansil
• Heather Leeann Tarno
• Julie Nicole Tatum
• Teaco, Inc
• Ted W Duensing DO LTD
• Kelvin Terry
• Ashley Thacker
• The Counseling Center, L.L.C.

• Pharmacy in Kennett, MO
• Providers in Kennett, MO by specialty
• Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.