Top Notch Pharmacies LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2015029947 Issued in MO

Legal business name

TOP NOTCH PHARMACIES LLC

Practice address

1412 High St
Sarcoxie, MO 64862

Phone

(417) 548-7184

Fax

(417) 548-7404

NPI assigned

Jul 16, 2015

Organization subpart

No

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

Authorized official

Name

Koby PraterNPI 1285959551

Title

Managing Member

Phone

(417) 592-7381

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Prater's Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

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

CLIA laboratory certificates

Tax ID family

Top Notch Pharmacies 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.

• Top Notch Pharmacies LLC

  • Long Term Care Pharmacy
  • Sarcoxie, MO
  • NPI 1144958562
  NPD tax ID

Practitioners 3

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

• Koby Prater, PHARM.D.

  • Pharmacist
  • Seneca, MO
  • NPI 1285959551
  NPD Authorized official
• Shelley Engle, PHARMD

  • Pharmacist
  • Sarcoxie, MO
  • NPI 1932656618
  NPD (past)
• Ryan D. Smith

  • Pharmacist
  • Sarcoxie, MO
  • NPI 1245016096
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1083098263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 625",
            "city": "SARCOXIE",
            "state": "MO",
            "postal_code": "648620625",
            "telephone_number": "417-548-7184",
            "fax_number": "417-548-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 HIGH ST",
            "city": "SARCOXIE",
            "state": "MO",
            "postal_code": "64862",
            "telephone_number": "417-548-7184",
            "fax_number": "417-548-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOP NOTCH PHARMACIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "PRATER",
        "authorized_official_first_name": "KOBY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "417-592-7381"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2015029947",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "603755307",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153702",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prater's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prater's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarcoxie Nursing Center, LLC
• Sarcoxie R-II School District
• Sarcoxie SNF Opco LLC
• Ryan D. Smith
• The Family Connection, LLC
• Top Notch Pharmacies LLC

• Community/Retail Pharmacy in Sarcoxie, MO
• Providers in Sarcoxie, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (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.