Active NPI
Family Pharmacy Inc.
Doing business as Family Pharmacy #25
- Community/Retail Pharmacy
- Ava, MO
National Provider Identifier
1013224047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2010031165
- Legal business name
- FAMILY PHARMACY INC.
- Doing business as
- Family Pharmacy #25
- Practice address
- 916 N.W. 12TH Ave
Suite F
Ava, MO 65608 - Phone
- (417) 683-1760
- Fax
- (417) 683-1768
- NPI assigned
- Sep 13, 2010
- Last updated
- Jan 24, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carrie Tennis
- Title
- Director of Operations
- Phone
- (417) 581-4335
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 2010031165 | MO | Primary |
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
916 N.W. 12TH Ave
Suite F
Ava, MO 65608
Mailing address
PO Box 326
Ava, MO 65608-0326
Phone (417) 683-1760
Other names 1
- FAMILY PHARMACY #25
National Provider Directory
National Provider DirectoryMember organizations 2
Organizations listed as members of this organization in the National Provider Directory.
-
dba Family Pharmacy #2
- Pharmacy
- Strafford, MO
- NPI 1588639991
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1390521600000",
"number": "1013224047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 326",
"city": "AVA",
"state": "MO",
"postal_code": "656080326",
"telephone_number": "417-683-1760",
"fax_number": "417-683-1768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 N.W. 12TH AVE",
"address_2": "SUITE F",
"city": "AVA",
"state": "MO",
"postal_code": "65608",
"telephone_number": "417-683-1760",
"fax_number": "417-683-1768"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-13",
"last_updated": "2014-01-24",
"status": "A",
"authorized_official_last_name": "TENNIS",
"authorized_official_first_name": "CARRIE",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "417-581-4335"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MO",
"license": "2010031165",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FAMILY PHARMACY #25",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ava, MO
- Douglas County Public Health Services Group, Inc. (MOCH Wellness Center)
- DRS Bowling Griffith & Antle Optometrists PC (Ozarks Family Vision Centre)
- Jacqueline Victoria Dugan, PA-C
- Connie Louise Dunn, DC
- Stacie Ely, RPH
- Allison M Felton, NP
- Flourish Integrative Wellness LLC
- Sybil Ann Fortner, DDS
- Christine Gentry, D.O.
- Connie Ann Grand, LICENSED PROFESSIONA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.