Summers Pharmacy of Warrensburg, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SUMMERS PHARMACY OF WARRENSBURG, LLC

Practice address

611 Burkarth Rd
Warrensburg, MO 64093

Phone

(660) 429-0559

Fax

(660) 530-6161

NPI assigned

Aug 28, 2018

Organization subpart

Yes

Parent organization

SUMMERS PHARMACY ENTERPRISES, CORPAs reported in NPPES

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

Authorized official

Name

Ryan Kent Summers, PHARMD

Title

President

Phone

(660) 885-3034

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO4 enrollments

Enrollment records 4

Tax ID family

Summers Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Summers Pharmacy of Marshall, LLC

  • Community/Retail Pharmacy
  • Marshall, MO
  • NPI 1518423946
  NPD tax ID
• Summers Pharmacy of Warrensburg, LLC

  • Long Term Care Pharmacy
  • Warrensburg, MO
  • NPI 1295389781
  NPD tax ID

Practitioners 4

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

• Madison Bennett, PHARMD

  • Pharmacist
  • Smithville, MO
  • NPI 1376090837
  NPD
• Bryon E Conrad, RPH

  • Ambulatory Care Pharmacist
  • Warrensburg, MO
  • NPI 1669250403
  NPD (past)
• Malena Landwehr, PHARM D

  • Pharmacist
  • Independence, MO
  • NPI 1568291573
  NPD (past)
• Byron McMurphy, R.PH

  • Pharmacist
  • Warrensburg, MO
  • NPI 1548864721
  NPD (past)

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1144701079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 PAWNEE ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352757",
            "telephone_number": "660-383-1910",
            "fax_number": "660-885-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 BURKARTH RD",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "64093",
            "telephone_number": "660-429-0559",
            "fax_number": "660-530-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERS PHARMACY OF WARRENSBURG, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMERS PHARMACY ENTERPRISES, CORP",
        "enumeration_date": "2018-08-28",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "660-885-3034",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MO",
            "license": "2018030729",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600059693",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy D Stewart
• Clifford Aaron Stock, O.D.
• Susan Lee Stockton, D.C.
• Jennifer Nicole Stoner, RN
• Briar Strunk
• Summers Pharmacy of Warrensburg, LLC
• Pamela Svitak
• Diane Lynn Switzner, MD
• Michael M Talty, P.A.
• The L.O.E. Company

• Community/Retail Pharmacy in Warrensburg, MO
• Providers in Warrensburg, 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 Jan 11, 2022; 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.

Verify at the official NPI Registry.