Active NPI
Unlimited Endeavors LLC
- Pharmacy
- Gravois Mills, MO
National Provider Identifier
1194170795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 2016014595
- Legal business name
- UNLIMITED ENDEAVORS LLC
- Doing business as
- Laurie Family Pharmacy
- Practice address
- 409 N Main St
Gravois Mills, MO 65037-6173 - Phone
- (573) 207-0805
- Fax
- (573) 207-0801
- NPI assigned
- May 2, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Stepp, PHARMD
- Title
- Owner
- Phone
- (816) 914-7376
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 2016014595 | MO | Primary |
| Community/Retail Pharmacy | 3336C0003X | |||
| Long Term Care Pharmacy | 3336L0003X | |||
| Managed Care Organization Pharmacy | 3336M0003X |
Addresses
Primary practice location
409 N Main St
Gravois Mills, MO 65037-6173
Mailing address
409 N Main St
Gravois Mills, MO 65037-6173
Phone (573) 207-0805
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2159955 | Other | PK |
Other names 1
- Laurie Family Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160913002733 | MO | Part B Supplier - Mass Immunization (Roster Biller Only) | 1355637661 | Practice locations: Gravois Mills, MO |
National Provider Directory
National Provider DirectoryLocations
154 S Main St
Gravois Mills, MO 65037
Phone (573) 207-0805
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Gravois Mills, MO
- NPI 1235492539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664323200000",
"number": "1194170795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 N MAIN ST",
"city": "GRAVOIS MILLS",
"state": "MO",
"postal_code": "650376173",
"telephone_number": "573-207-0805",
"fax_number": "573-207-0801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 N MAIN ST",
"city": "GRAVOIS MILLS",
"state": "MO",
"postal_code": "650376173",
"telephone_number": "573-207-0805",
"fax_number": "573-207-0801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNLIMITED ENDEAVORS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-02",
"last_updated": "2022-09-28",
"certification_date": "2022-09-28",
"status": "A",
"authorized_official_last_name": "STEPP",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "816-914-7376",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "MO",
"license": "2016014595",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336M0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Managed Care Organization Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2159955",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Laurie Family Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Laurie Family Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gravois Mills, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.