Active NPI
Harps Food Stores, Inc
- Community/Retail Pharmacy
- Bonne Terre, MO
National Provider Identifier
1134748866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- HARPS FOOD STORES, INC
- Practice address
- 50 Berry Rd
Bonne Terre, MO 63628-1373 - Phone
- (573) 358-0099
- Fax
- (573) 358-0084
- NPI assigned
- Apr 13, 2020
- 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
- Robert Acord
- Title
- Director of Pharmacy
- Phone
- (479) 757-0225
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
50 Berry Rd
Bonne Terre, MO 63628-1373
Mailing address
918 S Gutensohn Rd
Springdale, AR 72762-5165
Phone (479) 757-0225
Other names 1
- HARPS PHARMACY #204
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191015001665 | MO | Part B Supplier - Mass Immunization (Roster Biller Only) | 3476846593 |
4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Park Hills, MO; Poplar Bluff, MO; Fredericktown, MO; Farmington, MO |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586736000000",
"number": "1134748866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "918 S GUTENSOHN RD",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727625165",
"telephone_number": "479-757-0225",
"fax_number": "479-751-3625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 BERRY RD",
"city": "BONNE TERRE",
"state": "MO",
"postal_code": "636281373",
"telephone_number": "573-358-0099",
"fax_number": "573-358-0084"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARPS FOOD STORES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-13",
"last_updated": "2020-04-13",
"certification_date": "2020-04-13",
"status": "A",
"authorized_official_last_name": "ACORD",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
"authorized_official_telephone_number": "479-757-0225"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HARPS PHARMACY #204",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bonne Terre, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.