Active NPI
Bond Drug Store, LLC
Doing business as Tipton Pharmacy
- Community/Retail Pharmacy
- Tipton, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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, 2025
- 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
- Brian H Hills
- Title
- Owner
- Phone
- (573) 216-1866
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600092647 | Medicaid | MO |
Other names 1
- Tipton Pharmacy
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ComputerRX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
dba Versailles Pharmacy
- Community/Retail Pharmacy
- Versailles, MO
- NPI 1659816551
O20171009002935
National Provider Directory
National Provider Directory- Tax ID family
- Bond Drug Store LLC
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.
-
- Pharmacist
- Tipton, MO
- NPI 1609152107
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.