Summers Pharmacy of Nevada LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SUMMERS PHARMACY OF NEVADA LLC

Practice address

900 S Adams St
Nevada, MO 64772-3210

Phone

(417) 667-6044

Fax

(417) 667-0544

NPI assigned

Nov 20, 2006

Last updated

Jul 3, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

SUMMERS PHARMACY ENTERPRISES, CORPAs reported in NPPES

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

Authorized official

Name

Ryan SummersNPI 1720076037

Title

President

Phone

(660) 885-3034

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

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.

• Ryan Kent Summers, PHARM.D.

  • Pharmacist
  • Clinton, MO
  • NPI 1720076037
  Authorized official Same address or phone

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783036800000",
    "number": "1013081090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 PAWNEE ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352757",
            "telephone_number": "417-667-6044",
            "fax_number": "417-667-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S ADAMS ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723210",
            "telephone_number": "417-667-6044",
            "fax_number": "417-667-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERS PHARMACY OF NEVADA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMERS PHARMACY ENTERPRISES, CORP",
        "enumeration_date": "2006-11-20",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "660-885-3034"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MO",
            "license": "2016010547",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600447304",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159366",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• State of Missouri (Nevada Habilitation Center)
• State of Missouri (Nevada Habilitation Center-Crisis)
• State of Missouri (Nevada Habilitation Center ISL)
• Esther Stetson, DDS
• Amber Stout, LMSW
• Summers Pharmacy of Nevada LLC (Community Pharmacy - Long-Term Care)
• Supportive Spaces Counseling
• Natashia Symes, LPC, RPT
• The Neighbors Center
• The Wellness Company X, LLC (Clara Sands)

• Community/Retail Pharmacy in Nevada, MO
• Providers in Nevada, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; 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.