Organization Active NPI

Bond Drug Store, LLC

Doing business as Tipton Pharmacy

  • Community/Retail Pharmacy
  • Tipton, MO
National Provider Identifier
1023620838
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BOND DRUG STORE, LLC
Doing business as
Tipton Pharmacy
Practice address
310 US Highway 50 W
Tipton, MO 65081-8701
Phone
(660) 433-6336
NPI assigned
Aug 21, 2020
Last updated
Oct 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Authorized official

Name
Brian H Hills
Title
Owner
Phone
(573) 216-1866

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary
Long Term Care Pharmacy 3336L0003X NU

Addresses

Primary practice location

310 US Highway 50 W
Tipton, MO 65081-8701

Mailing address

PO Box 827
310 US 50 West
Tipton, MO 65081-0827
Phone (660) 433-6336

Other identifiers 1

IdentifierTypeStateIssuer
600092647MedicaidMO

Other names 1

  • Tipton Pharmacy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ComputerRX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171009002935 MO Part B Supplier - Mass Immunization (Roster Biller Only) 2668747114 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Versailles, MO; Tipton, MO

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Bond Drug Store LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

310 US Highway 50 W
Tipton, MO 65081
Phone (660) 433-6336

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": "1597968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1023620838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 827",
            "address_2": "310 US 50 WEST",
            "city": "TIPTON",
            "state": "MO",
            "postal_code": "650810827",
            "telephone_number": "660-433-6336",
            "fax_number": "660-433-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 US HIGHWAY 50 W",
            "city": "TIPTON",
            "state": "MO",
            "postal_code": "650818701",
            "telephone_number": "660-433-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOND DRUG STORE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-21",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "HILLS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-216-1866"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600092647",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ComputerRX",
            "affiliation": "N",
            "endpointDescription": "pharmacy software system",
            "address_1": "310 US Highway 50 W",
            "city": "Tipton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "650818701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Tipton Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tipton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.