Organization Active NPI

Unlimited Endeavors LLC

  • Pharmacy
  • Gravois Mills, MO
National Provider Identifier
1194170795
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
2016014595 Issued in MO
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

Updated by the provider on Sep 28, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2159955OtherPK

Other names 1

  • Laurie Family Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160913002733 MO Part B Supplier - Mass Immunization (Roster Biller Only) 1355637661 Practice locations: Gravois Mills, MO

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.