Active NPI
Wagenknecht & Swords Inc.
- Community/Retail Pharmacy
- Sedalia, MO
National Provider Identifier
1275544835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 601191307 | Medicaid | MO |
Other names 1
- Swords' Family Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Sedalia, MO
- NPI 1497596191
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.
-
- Pharmacist
- Sedalia, MO
- NPI 1083963177
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.