Organization Active NPI

Andlee

Doing business as Paris Pharmacy

  • Community/Retail Pharmacy
  • Paris, MO
National Provider Identifier
1235242876
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2010000018 Issued in MO
Legal business name
ANDLEE
Doing business as
Paris Pharmacy
Practice address
865 S Main St
Paris, MO 65275-1178
Phone
(660) 327-4514
Fax
(660) 327-1333
NPI assigned
Aug 17, 2006
Last updated
Apr 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Authorized official

Name
Jason DodgeNPI 1427733088
Title
Owner/Pharmacist
Phone
(660) 327-4514

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Oxygen Equipment & Supplies (DME) 332BX2000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2010000018 MO Primary
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

865 S Main St
Paris, MO 65275-1178

Mailing address

865 S Main St
Paris, MO 65275-1178
Phone (660) 327-4514

Other names 1

  • Paris Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101015000802 MO DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered PharmacistDME Supplier - Oxygen & Equipment 8325231806 Practice locations: Paris, MO
O20201209002645 MO Part B Supplier - Mass Immunization (Roster Biller Only) 8325231806 Practice locations: Paris, MO

National Provider Directory

National Provider Directory
Tax ID family
Andlee LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

223 N Main St
Paris, MO 65275
Phone (660) 327-4514

865 S Main St
Paris, MO 65275
Phone (660) 327-4514

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1235242876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 S MAIN ST",
            "city": "PARIS",
            "state": "MO",
            "postal_code": "652751178",
            "telephone_number": "660-327-4514",
            "fax_number": "660-327-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 S MAIN ST",
            "city": "PARIS",
            "state": "MO",
            "postal_code": "652751178",
            "telephone_number": "660-327-4514",
            "fax_number": "660-327-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDLEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "DODGE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "660-327-4514"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2010000018",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paris Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paris, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.