Kreisler Drug #3 Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

4203 Issued in MO

Legal business name

KREISLER DRUG #3 INC.

Practice address

1810 E Ohio Street
Clinton, MO 64735-2429

Phone

(660) 885-2227

Fax

(660) 885-6589

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Samuel W. Kernohan, RPH

Title

Pharmacist in Charge

Phone

(660) 885-2227

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Paul Hendricks, RPH

  • Pharmacist
  • Clinton, MO
  • NPI 1912002973
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1124123724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 E OHIO ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352429",
            "telephone_number": "660-885-2227",
            "fax_number": "660-885-6589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 E OHIO STREET",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352429",
            "telephone_number": "660-885-2227",
            "fax_number": "660-885-6589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREISLER DRUG #3 INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "KERNOHAN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "660-885-2227",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "4203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela J. Knowles, RN
• Christine D Kornbluth, LCSW, ACSW, MSW
• Alaa Kozaat
• Kreisler Clnic Pharmacy
• Kreisler Drug #3
• Kreisler Drug Co. Inc.
• Kreisler Drug Store
• Denise Krewson, LMSW
• Donnalyn Kuck, LSW
• Dana M Lamair

• Community/Retail Pharmacy in Clinton, MO
• Providers in Clinton, 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 Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.