Food Merchants LLC
Organization Active NPI Community/Retail Pharmacy · Springfield, MO
NPI 1194767970 · NPPES record last updated Mar 5, 2020
Key facts
- NPI
- 1194767970
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 2003031778 (MO)
- Legal business name
- FOOD MERCHANTS LLC
- Practice address
- 2650 W Kearney St
Springfield, MO 65803-2037 - Phone
- (417) 865-1547
- Fax
- (417) 862-2571
- NPI assigned
- Jun 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Donald G Savley
- Title
- Owner
- Phone
- (417) 818-3125
Other NPIs on the same Medicare enrollment 4
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 4
Practitioners 15
-
Joshua Christopher Berry, PHARM.D.
-
James Britton Jr., PHARM.D.
-
Katherine Deronde, PHARMD
-
Charles David Kerr, RPH
-
Tom E Mengwasser, PHARMD
-
Malaina Skiles Pitsch, PHARMD
-
Melody Ann Savley, RPH
-
Catherine Ann Seiler, PHARMACIST
-
Brady M Smith, PHARMD
-
Linda Tran, PHARM.D
-
Shequavia Nyesha' Tyler, PHARMD
-
Cody York, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (5 enrollments) in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930023046 | MO | DME Supplier - Pharmacy | 1456569029 | Practice locations: Springfield, MO |
| O20101011000617 | MO | Part B Supplier - Mass Immunization (Roster Biller Only) | 1456569029 |
1 other NPI on this enrollment Practice locations: Springfield, MO; Nixa, MO |
| O20170210000521 | MO | Part B Supplier - Pharmacy | 1456569029 |
3 other NPIs on this enrollment Practice locations: Springfield, MO; Nixa, MO; Anderson, MO |
| O20201014003846 | MO | Part B Supplier - Independent Clinical Laboratory | 1456569029 | Practice locations: Springfield, MO |
| O20220621002185 | MO | MDPP Supplier - in-Person MDPP Supplier | 1456569029 | Practice locations: Springfield, MO |
National Provider Directory
- Tax ID family
- Food Merchants LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 2003031778 | MO | Yes |
| Long Term Care Pharmacy | 3336L0003X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
2650 W Kearney St
Springfield, MO 65803-2037
Mailing address
PO Box 397
Nixa, MO 65714-0397
Phone (417) 818-3125
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2048970 | Other | PK | |
| 606075505 | Medicaid | MO | |
| 626075501 | Medicaid | MO |
Other names
- ALPS PHARMACY
Other providers in Springfield, MO
- Angela J Folstad
- Sheila Fomenky
- Robyn D Fondren
- Trista E Fongemie
- Sarah Fontana
- Food Merchants LLC
- Foot Doctors, P.C.
- Jason J. Forbes
- Amy Ruth Ford Turner
- Andrew James Ford
All providers in Springfield, MO · Community/Retail Pharmacy in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.