Medicine Shoppe

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2003006242 Issued in MO

Legal business name

MEDICINE SHOPPE

Practice address

600 Park LN
Park Center Shopping Center
Chillicothe, MO 64601-1566

Phone

(660) 707-0080

Fax

(660) 707-0877

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Diane Wasinger, RPH

Title

Owner Pharmacist

Phone

(660) 707-0080

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1144332149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PARK LN",
            "address_2": "PARK CENTER SHOPPING CENTER",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646011566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PARK LN",
            "address_2": "PARK CENTER SHOPPING CENTER",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646011566",
            "telephone_number": "660-707-0080",
            "fax_number": "660-707-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE SHOPPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WASINGER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "660-707-0080",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2003006242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2634891",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rolfe C McCoy, DMD
• Barbara D McCullough, FNP-C
• Marie Elizabeth McKinley, LPC
• Erin R McMains, LPC, EDS, MS
• Allison McQuinn, M.S. CCC-SLP
• Medley Pharmacy Inc
• Medley Pharmacy Inc.
• Menm, LLC
• Donald J Metry Jr., MD
• Malissa Miller, PHARM.D.

• All providers in Chillicothe, MO
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.