Tim Mitchell Medical Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2012041816 Issued in MO

Legal business name

TIM MITCHELL MEDICAL INC

Doing business as

Mitchell's Downtown Drug Store

Practice address

115 E Hickory St
Neosho, MO 64850-1806

Phone

(417) 451-3776

Fax

(417) 451-2332

NPI assigned

Dec 27, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Tim G Mitchell, RPH

Title

Pharmacy Manager

Phone

(417) 451-3776

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mitchell's Downtown Drug Store Doing business as

Locations

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

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1144566811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 S NEOSHO BLVD",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648502051",
            "telephone_number": "417-451-3776",
            "fax_number": "417-451-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E HICKORY ST",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648501806",
            "telephone_number": "417-451-3776",
            "fax_number": "417-451-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM MITCHELL MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-27",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "417-451-3776",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2012041816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600003470",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mitchell's Downtown Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jordan Stoner, PHARMD
• Alyson Stout, RDH
• Robert Leroy Sweeten Jr., M.D.
• Talley Chiropractic Offices, P.C.
• Patricia Arlene Thompson, DC
• Tim Mitchell Medical Inc
• Tim Mitchell Medical Inc
• Tim Mitchell Medical, Inc
• Tim Mitchell Medical, Inc
• Tim Mitchell Medical, Inc

• Community/Retail Pharmacy in Neosho, MO
• Providers in Neosho, 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 May 1, 2025; 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.