Organization Active NPI

D&S Drug LLC

  • Durable Medical Equipment & Medical Supplies
  • Dexter, MO
National Provider Identifier
1003897679
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 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
Last updated
Apr 1, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
D&S DRUG LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Ms. Paulinda Sue Schumer, RPHNPI 1740493816
Title
President
Phone
(573) 614-4243

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

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 2

IdentifierTypeStateIssuer
605307305MedicaidMO
625307301MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141209000601 MO Part B Supplier - Pharmacy 9830201128 Practice locations: Dexter, MO

National Provider Directory

National Provider Directory
Part of
DS Drug LLC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1003897679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 667",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638410667",
            "telephone_number": "573-614-4243",
            "fax_number": "573-614-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 W BUS HIGHWAY 60",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638412706",
            "telephone_number": "573-614-4243",
            "fax_number": "573-614-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D&S DRUG LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "D&S DRUG LLC",
        "enumeration_date": "2005-11-09",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "SCHUMER",
        "authorized_official_first_name": "PAULINDA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-614-4243",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "605307305",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "625307301",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dexter, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.