NPIMap

Organization Active NPI

Greenfield Pharmacy Inc

  • Durable Medical Equipment & Medical Supplies
  • Greenfield, MO
National Provider Identifier
1144356502
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
004679 Issued in MO
Legal business name
GREENFIELD PHARMACY INC
Practice address
105 North Grand
Suite 1
Greenfield, MO 65661
Phone
(417) 637-2909
Fax
(417) 637-5621
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Authorized official

Name
Dr. Randy Kyle Meents, PHARM.D.
Title
President, Pharmacist in Charge
Phone
(417) 637-2909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 004679 MO Primary

Addresses

Primary practice location

105 North Grand
Suite 1
Greenfield, MO 65661

Mailing address

PO Box 158
Greenfield, MO 65661-0158
Phone (417) 637-2909

Other identifiers 1

IdentifierTypeStateIssuer
621294503MedicaidMO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1144356502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "city": "GREENFIELD",
            "state": "MO",
            "postal_code": "656610158",
            "telephone_number": "417-637-2909",
            "fax_number": "417-637-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NORTH GRAND",
            "address_2": "SUITE 1",
            "city": "GREENFIELD",
            "state": "MO",
            "postal_code": "65661",
            "telephone_number": "417-637-2909",
            "fax_number": "417-637-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENFIELD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "MEENTS",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "PRESIDENT, PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "417-637-2909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "004679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621294503",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.