Organization Active NPI

Halls Pharmacy Inc

  • Community/Retail Pharmacy
  • Washington, MO
National Provider Identifier
1255446290
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2006022696 Issued in MO
Legal business name
HALLS PHARMACY INC
Doing business as
HALLS PHARMACY INC
Practice address
3021 Highway a
Ste 203
Washington, MO 63090-5498
Phone
(636) 390-2828
Fax
(636) 390-2598
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Authorized official

Name
Clarissa Hall, PHARMDNPI 1831241736
Title
President
Phone
(636) 390-2828

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 2006022696 MO Primary

Addresses

Primary practice location

3021 Highway a
Ste 203
Washington, MO 63090-5498

Mailing address

3021 Highway a
Ste 203
Washington, MO 63090-5498
Phone (636) 390-2828

Other identifiers 2

IdentifierTypeStateIssuer
606261303MedicaidMO
2637037OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • HALLS PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

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": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1255446290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 HIGHWAY A",
            "address_2": "STE 203",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630905498",
            "telephone_number": "636-390-2828",
            "fax_number": "636-390-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 HIGHWAY A",
            "address_2": "STE 203",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630905498",
            "telephone_number": "636-390-2828",
            "fax_number": "636-390-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "CLARISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-390-2828",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2006022696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "606261303",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2637037",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HALLS PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.