50-Plus LTC Pharmacy

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

2000154001 Issued in MO

Legal business name

50-PLUS LTC PHARMACY

Practice address

209 1/2 W Lexington Ave
Independence, MO 64050-3709

Phone

(816) 833-5060

Fax

(816) 461-0638

NPI assigned

Nov 1, 2006

Last updated

Jun 22, 2012By 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

John F Walker, R.PH

Title

Coo

Phone

(816) 833-5060

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1245318252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 1/2 W LEXINGTON AVE",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640503709",
            "telephone_number": "816-833-5060",
            "fax_number": "816-461-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 1/2 W LEXINGTON AVE",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640503709",
            "telephone_number": "816-833-5060",
            "fax_number": "816-461-0638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "50-PLUS LTC PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "816-833-5060",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "MO",
            "license": "2000154001",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MO",
            "license": "2000154001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "604898809",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Long Term Care Pharmacy in Independence, MO
• Providers in Independence, 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 Jun 22, 2012; 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.