Old Town Apothecary, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

OLD TOWN APOTHECARY, LLC

Practice address

1739 Elm CT Ste 108
Jefferson City, MO 65101-4303

Phone

(573) 634-8300

NPI assigned

Jul 26, 2017

Organization subpart

No

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

Authorized official

Name

Cameon Schulte, PHARM.D.

Title

Member

Phone

(573) 634-8300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cameron T Schulte, PHARM.D.

  • Pharmacist
  • Jefferson City, MO
  • NPI 1134555766
  NPD

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501027200000",
    "number": "1013431675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 ELM CT STE 108",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651014303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 ELM CT STE 108",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651014303",
            "telephone_number": "573-634-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD TOWN APOTHECARY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2017-07-26",
        "status": "A",
        "authorized_official_last_name": "SCHULTE",
        "authorized_official_first_name": "CAMEON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "573-634-8300",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Louis Oestreich, PHARM.D., MPA
• Oluwaseun Oginni, DDS
• Jennifer Ohnesorge
• Ejiroghene Okiremute-Duvie, PMHNP
• Segun E Oladipo, MD
• Ishvara Om, DO
• Molly J Omohundro, APRN
• Christina Renee Onder, FNP-BC
• One for All Day Program LLC
• Tin Maung Oo, M.D.

• Pharmacy in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; 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.