D&S Drug LLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Dexter, MO
NPI 1003897679 · NPPES record last updated Apr 1, 2008
Key facts
- NPI
- 1003897679
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- D&S DRUG LLC
- Practice address
- 1226 W Bus Highway 60
Dexter, MO 63841-2706 - Phone
- (573) 614-4243
- Fax
- (573) 614-4292
- NPI assigned
- Nov 9, 2005
- Organization subpart
- Yes
- Parent organization (as reported)
- D&S DRUG LLC
Authorized official
- Name
- Ms. Paulinda Sue Schumer, RPH
- Title
- President
- Phone
- (573) 614-4243
Practitioners 1
-
Paulinda Sue Schumer, RPH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141209000601 | MO | Part B Supplier - Pharmacy | 9830201128 | Practice locations: Dexter, MO |
National Provider Directory
- Part of
- DS Drug LLC
Locations
1226 W Business US Highway 60
Dexter, MO 63841
Phone (573) 614-4243
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
1226 W Bus Highway 60
Dexter, MO 63841-2706
Mailing address
PO Box 667
Dexter, MO 63841-0667
Phone (573) 614-4243
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 625307301 | Medicaid | MO | |
| 605307305 | Medicaid | MO |
Other providers in Dexter, MO
- Clearwater in-Home Care, Inc.
- Vincent Harlon Coburn
- Krista Lynn Conde
- Brendan Robert Crader
- Martha Crawford
- D&S Drug LLC
- Davis Health & Wellness Clinic, P.C.
- Bradford Joseph Davis
- Savannah Joy Deane
- Demaree Mitchell Family Dentistry LLC
All providers in Dexter, MO · Durable Medical Equipment & Medical Supplies in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.