N E Mo Closed Door Pharmacy L L C

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

2007001134 Issued in MO

Legal business name

N E MO CLOSED DOOR PHARMACY L L C

Practice address

214B N Grand St
Clarence, MO 63437-1604

Phone

(660) 699-2432

NPI assigned

Feb 7, 2007

Last updated

Oct 3, 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

James Johnston, PHARM DNPI 1558768648

Title

Owner

Phone

(660) 699-2432

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• James Johnston, PHARM D

  • Pharmacist
  • Clarence, MO
  • NPI 1558768648
  Authorized official Same address or phone

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1184764573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214B N GRAND ST",
            "city": "CLARENCE",
            "state": "MO",
            "postal_code": "634371604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214B N GRAND ST",
            "city": "CLARENCE",
            "state": "MO",
            "postal_code": "634371604",
            "telephone_number": "660-699-2432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N E MO CLOSED DOOR PHARMACY L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-699-2432",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MO",
            "license": "2007001134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "626317705",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryce William Johnston, DC
• James Johnston, PHARM D
• Dwight Moody Jones Jr., NP-BC
• Alicyn Grace Magruder, PHARMD
• Madison Lynn Moody
• Nemo Chiropractic, LLC
• Peoples Shaw LLC (Peoples Clinic)
• Lynn Perrigo, PHARMD
• Allison Peoples Shaw, FNP
• Katrina Stewart, M.ED., RBT

• Long Term Care Pharmacy in Clarence, MO
• Providers in Clarence, MO by specialty
• Long Term Care Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.