NPIMap

Organization Active NPI

Curators of the University of Missouri

Doing business as Mizzou Pharmacy - MU Student Center

  • Community/Retail Pharmacy
  • Columbia, MO
National Provider Identifier
1174872113
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2012030593 Issued in MO
Legal business name
CURATORS OF THE UNIVERSITY OF MISSOURI
Doing business as
Mizzou Pharmacy - MU Student Center
Practice address
911 E Rollins St RM 1207a
Columbia, MO 65201-5124
Phone
(573) 884-4373
Fax
(573) 882-4843
NPI assigned
Sep 6, 2012
Last updated
Jun 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Authorized official

Name
Frederic A. Ransom
Title
Ceo
Phone
(573) 884-0054

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2012030593 MO Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

911 E Rollins St RM 1207a
Columbia, MO 65201-5124

Mailing address

PO Box 843310
Kansas City, MO 64184-3310
Phone (573) 884-4373

Other names 1

  • Mizzou Pharmacy - MU Student Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171102002324 MO Part B Supplier - Mass Immunization (Roster Biller Only) 6800704560 12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Jefferson City, MO; Versailles, MO; Columbia, MO

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member organizations 13

Organizations listed as members of this organization in the National Provider Directory.

View all 13

Locations

911 Rollins St
Rm 1207A
Columbia, MO 65201
Phone (573) 884-4373

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1174872113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843310",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641843310",
            "telephone_number": "573-884-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E ROLLINS ST RM 1207A",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015124",
            "telephone_number": "573-884-4373",
            "fax_number": "573-882-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURATORS OF THE UNIVERSITY OF MISSOURI",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-06",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "RANSOM",
        "authorized_official_first_name": "FREDERIC",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-884-0054"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2012030593",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mizzou Pharmacy - MU Student Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mizzou Pharmacy - MU Student Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.