Organization Active NPI

McKenzie Prescription Center Inc

  • Hearing Aid Equipment
  • Moberly, MO
National Provider Identifier
1265602429
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
License
000587 Issued in MO
Legal business name
MCKENZIE PRESCRIPTION CENTER INC
Practice address
643 N Morley St Ste a
Moberly, MO 65270
Phone
(660) 263-6710
Fax
(660) 263-2269
NPI assigned
Mar 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Mr. Robert L Lewis, HIS
Title
Hearing Aid Specialist
Phone
(660) 263-6710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X 000587 MO Primary

Addresses

Primary practice location

643 N Morley St Ste a
Moberly, MO 65270

Mailing address

643 N Morley St Ste a
Moberly, MO 65270
Phone (660) 263-6710

Other identifiers 1

IdentifierTypeStateIssuer
33187300MedicaidMO

National Provider Directory

National Provider Directory
Tax ID family
McKenzie Prescription Center Inc2 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

643 N Morley St
Ste A
Moberly, MO 65270
Phone (660) 263-6710

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1265602429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 N MORLEY ST STE A",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "65270",
            "telephone_number": "660-263-6710",
            "fax_number": "660-263-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 N MORLEY ST STE A",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "65270",
            "telephone_number": "660-263-6710",
            "fax_number": "660-263-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKENZIE PRESCRIPTION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "HEARING AID SPECIALIST",
        "authorized_official_telephone_number": "660-263-6710",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "HIS"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": "MO",
            "license": "000587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33187300",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moberly, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.