Active NPI
J and D Pharmacy, Inc
Doing business as Homeaide Supplies and Services
- Durable Medical Equipment & Medical Supplies
- Warsaw, MO
National Provider Identifier
1063490563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- J AND D PHARMACY, INC
- Doing business as
- Homeaide Supplies and Services
- Practice address
- 1330 Commercial St
Warsaw, MO 65355 - Phone
- (660) 438-7331
- Fax
- (660) 438-8638
- NPI assigned
- Jan 4, 2006
- Last updated
- Aug 25, 2022
- 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
- Mr. Don Grove Jr., RPH
- Title
- Pharmacist
- Phone
- (660) 438-7331
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1330 Commercial St
Warsaw, MO 65355
Mailing address
PO Box 1599
Warsaw, MO 65355-1599
Phone (660) 438-7331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620309807 | Medicaid | MO |
Other names 1
- HOMEAIDE SUPPLIES AND SERVICES
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080130000650 | MO | Part B Supplier - Mass Immunization (Roster Biller Only) | 5799867644 | Practice locations: Warsaw, MO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661385600000",
"number": "1063490563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1599",
"city": "WARSAW",
"state": "MO",
"postal_code": "653551599",
"telephone_number": "660-438-7331",
"fax_number": "660-438-8638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 COMMERCIAL ST",
"city": "WARSAW",
"state": "MO",
"postal_code": "65355",
"telephone_number": "660-438-7331",
"fax_number": "660-438-8638"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J AND D PHARMACY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-04",
"last_updated": "2022-08-25",
"certification_date": "2022-08-25",
"status": "A",
"authorized_official_last_name": "GROVE",
"authorized_official_first_name": "DON",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "660-438-7331",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "620309807",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HOMEAIDE SUPPLIES AND SERVICES",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "HOMEAIDE SUPPLIES AND SERVICES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Warsaw, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.