Dejace Enterprises Inc – Long Term Care Pharmacy

Key facts

NPI: 1013605997
Entity type: Organization (NPI type 2)
Primary specialty: Long Term Care Pharmacy 3336L0003X
Legal business name: DEJACE ENTERPRISES INC
Practice address: 106 Broadway St Ste a
Elsberry, MO 63343-1345
Phone: (573) 898-2550
Fax: (573) 898-5730
NPI assigned: Apr 27, 2023
Organization subpart: Yes
Parent organization (as reported): DEJACE ENTERPRISES INC

Authorized official

Name: Dr. Andrew Osterkamp, PHARMD
Title: Pharmacist
Phone: (573) 898-2550

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Dejace Enterprises Inc Community/Retail Pharmacy · Elsberry, MO · NPI 1861488660

NPPES parent name

Practitioners 1

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

Andrew Osterkamp, PHARMD Pharmacist · Elsberry, MO · NPI 1720408198

NPD

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
26D1014101	Elsberry Pharmacy 106A Broadway, Elsberry, MO 63343	Certificate of waiver	Jun 24, 2027

National Provider Directory

Part of: Dejace Enterprises Inc

Locations

106 Broadway St
Ste A
Elsberry, MO 63343
Phone (573) 200-6593

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Long Term Care Pharmacy	3336L0003X			Yes

Addresses

Primary practice location

106 Broadway St Ste a
Elsberry, MO 63343-1345

Mailing address

106 Broadway St Ste a
Elsberry, MO 63343-1345
Phone (573) 898-2550

Other names

Elsberry Pharmacy LTC Doing business as

Other providers in Elsberry, MO

Jerry W Callahan, RPH
Jenna R Cannon, COTA/L
Gregory George Casalone, DDS
Melody Lynn Chapman
Terissa Kay Curtis, COTA/L
Dejace Enterprises Inc
Elsberry Missouri Health Care Center, Inc.
Goddard Chiropractic LLC
Jessica Goddard, DC
Kristen Herina, APRN, FNP-BC

All providers in Elsberry, MO · Long Term Care Pharmacy 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 27, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.