Organization Active NPI

Wagenknecht & Swords Inc.

  • Community/Retail Pharmacy
  • Sedalia, MO
National Provider Identifier
1275544835
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WAGENKNECHT & SWORDS INC.
Practice address
300 S Ohio Ave
Sedalia, MO 65301-4432
Phone
(660) 826-0462
Fax
(660) 826-5697
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Authorized official

Name
Mrs. Michelle Ann Swords
Title
Owner
Phone
(660) 826-0462

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Long Term Care Pharmacy 3336L0003X 005280 MO

Addresses

Primary practice location

300 S Ohio Ave
Sedalia, MO 65301-4432

Mailing address

300 S Ohio Ave
Sedalia, MO 65301-4432
Phone (660) 826-0462

Other identifiers 1

IdentifierTypeStateIssuer
601191307MedicaidMO

Other names 1

  • Swords' Family Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131217000078 MO Part B Supplier - Mass Immunization (Roster Biller Only) 5597992651 Practice locations: Sedalia, MO

National Provider Directory

National Provider Directory
Tax ID family
Swords' Family Pharmacy2 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

300 S Ohio Ave
Sedalia, MO 65301
Phone (660) 826-0462

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": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573689600000",
    "number": "1275544835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S OHIO AVE",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653014432",
            "telephone_number": "660-826-0462",
            "fax_number": "660-826-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S OHIO AVE",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653014432",
            "telephone_number": "660-826-0462",
            "fax_number": "660-826-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAGENKNECHT & SWORDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2019-11-14",
        "status": "A",
        "authorized_official_last_name": "SWORDS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-826-0462",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MO",
            "license": "005280",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601191307",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Swords' Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Swords' Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sedalia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.