Organization 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
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
620309807MedicaidMO

Other names 1

  • HOMEAIDE SUPPLIES AND SERVICES Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080130000650 MO Part B Supplier - Mass Immunization (Roster Biller Only) 5799867644 Practice locations: Warsaw, MO

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.