Pratt's Rexall Drugs, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

129 Issued in MO

Legal business name

PRATT'S REXALL DRUGS, INC

Doing business as

Pratt's Pharmacy

Practice address

100 Dwayne Von Behren Dr
New Haven, MO 63068-3207

Phone

(573) 237-3321

Fax

(573) 237-2005

NPI assigned

Sep 22, 2006

Last updated

Dec 27, 2022By 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

Mr. Craig Neal Willimann, R. PH.NPI 1154341337

Title

President

Phone

(573) 237-3321

Specialties & licenses 4

Addresses

Other names 1

• Pratt's Pharmacy Doing business as

Practitioners 1

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.

• Craig Neal Willimann, R.PH.

  • Pharmacist
  • New Haven, MO
  • NPI 1154341337
  NPD (past) Authorized official

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1174622278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DWAYNE VON BEHREN DR",
            "city": "NEW HAVEN",
            "state": "MO",
            "postal_code": "630683207",
            "telephone_number": "573-237-3321",
            "fax_number": "573-237-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DWAYNE VON BEHREN DR",
            "city": "NEW HAVEN",
            "state": "MO",
            "postal_code": "630683207",
            "telephone_number": "573-237-3321",
            "fax_number": "573-237-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRATT'S REXALL DRUGS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "WILLIMANN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-237-3321",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R. PH."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "000129",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "000129",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "129",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pratt's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pratt's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pataky Enterprises LLC (Arizona Care Center)
• Patients First Health Care LLC
• Michelle Louise Patke, CCC-SLP
• Tami Pollock
• Destiny Leeanne Pottebaum, MSW
• Pratt's Rexall Drugs, Inc
• Pratt's Rexall Drugs, Inc. (Pratt's Pharmacy)
• Chelsea Renee Schaning, COTA/L
• Ross Thomas Seitter
• Charles J Tritch

• Community/Retail Pharmacy in New Haven, MO
• Providers in New Haven, 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 Dec 27, 2022; 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.