Niemann Foods Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2011002754 Issued in MO

Legal business name

NIEMANN FOODS INC

Doing business as

County Market Pharmacy 375

Practice address

1208 S Main St
Palmyra, MO 63461-1901

Phone

(573) 769-0343

Fax

(573) 769-0344

NPI assigned

Jan 31, 2011

Last updated

Sep 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christopher Niemann

Title

Evp/Cfo

Phone

(217) 221-5612

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• County Market Pharmacy 375 Doing business as

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Taylor Hams, PHARMD

  • Pharmacotherapy Pharmacist
  • Hannibal, MO
  • NPI 1356945679
  NPD (past)
• Preeteka Dhamrait

  • Pharmacist
  • Springfield, IL
  • NPI 1316533656
  NPD (past)
• Robert Charles Donaho, RPH

  • Pharmacist
  • Springfield, IL
  • NPI 1427729771
  NPD (past)
• Edward Garrett Jeffries

  • Pharmacist
  • Farmington, IL
  • NPI 1790389047
  NPD (past)
• Cynthia A Mende, RPH

  • Pharmacist
  • Springfield, IL
  • NPI 1255527388
  NPD (past)
• Cary Steven Miller, PHARMACIST

  • Pharmacist
  • Rushville, IL
  • NPI 1659090793
  NPD (past)
• Joshua Palmer Thompson

  • Pharmacist
  • Springfield, IL
  • NPI 1558965913
  NPD (past)
• Bethany Irene Wille

  • Pharmacist
  • Springfield, IL
  • NPI 1578079711
  NPD (past)

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1164728762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX C847",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623060847",
            "telephone_number": "217-221-5641",
            "fax_number": "217-221-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 S MAIN ST",
            "city": "PALMYRA",
            "state": "MO",
            "postal_code": "634611901",
            "telephone_number": "573-769-0343",
            "fax_number": "573-769-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIEMANN FOODS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-31",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "NIEMANN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "EVP/CFO",
        "authorized_official_telephone_number": "217-221-5612"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2011002754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "606505907",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127638",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "County Market Pharmacy 375",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Thomas Lemons, D.D.S.
• Adrienne Lynn, D.D.S.
• Marion Co. Nursing Home District (Maple Lawn Nursing Home)
• Nichole McKeown
• Lauren Mueller
• Palmyra R-I Schools
• Gina Pontius, M.D.
• Pro Active Chiropractic Center PC
• Ruth Annette Rosenkrans, PT
• Shopko Stores Operating Co LLC (Shopko Pharmacy 712)

• Community/Retail Pharmacy in Palmyra, MO
• Providers in Palmyra, 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 Sep 27, 2021; 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.