Organization Active NPI

Canote Pharmacy, Inc

  • Compounding Pharmacy
  • Hollister, MO
National Provider Identifier
1164561148
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
2007002105 Issued in MO
Legal business name
CANOTE PHARMACY, INC
Practice address
215 Gage Drive
Suite K
Hollister, MO 65672
Phone
(417) 334-9551
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Brian Burney, R.PH.
Title
Owner
Phone
(417) 334-3187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X 2007002105 MO Primary

Addresses

Primary practice location

215 Gage Drive
Suite K
Hollister, MO 65672

Mailing address

215 Gage Drive
Suite K
Hollister, MO 65672
Phone (417) 334-9551

Other names 1

  • Branson Drug Compounding Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Branson Drug Compounding Center3 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.

Locations

215 Gage Dr
Ste K
Hollister, MO 65672
Phone (417) 334-9551

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164561148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 GAGE DRIVE",
            "address_2": "SUITE K",
            "city": "HOLLISTER",
            "state": "MO",
            "postal_code": "65672",
            "telephone_number": "417-334-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 GAGE DRIVE",
            "address_2": "SUITE K",
            "city": "HOLLISTER",
            "state": "MO",
            "postal_code": "65672",
            "telephone_number": "417-334-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANOTE PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURNEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-334-3187",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MO",
            "license": "2007002105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Branson Drug Compounding Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hollister, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.