Organization Active NPI

KPBN Apothecary LLC

Doing business as Lawrence Drug

  • Community/Retail Pharmacy
  • Ozark, MO
National Provider Identifier
1285059089
Registry record updated May 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2014004590 Issued in MO
Legal business name
KPBN APOTHECARY LLC
Doing business as
Lawrence Drug
Practice address
5540 N Farmer Branch Rd
Ozark, MO 65721-5315
Phone
(417) 485-8555
Fax
(417) 485-8559
NPI assigned
Mar 3, 2014
Last updated
May 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2014

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

Authorized official

Name
Dr. Nathaniel Paul Aldrich, PHARMDNPI 1891119145
Title
Pharmacist in Charge
Phone
(417) 485-8555

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 2014004590 MO
Community/Retail Pharmacy 3336C0003X 2014004590 MO Primary
Compounding Pharmacy 3336C0004X 2014004590 MO

Addresses

Primary practice location

5540 N Farmer Branch Rd
Ozark, MO 65721-5315

Mailing address

5540 N Farmer Branch Rd
Ozark, MO 65721-5315
Phone (417) 485-8555

Other names 1

  • Lawrence Drug Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140522000129 MO Part B Supplier - Mass Immunization (Roster Biller Only) 5496978397 Practice locations: Ozark, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2202789KPBN Apothecary, LLC5540 N Farmer Branch Road, Ozark, MO 65721Certificate of waiverNov 30, 2026

National Provider Directory

National Provider Directory

Locations

5540 N Farmer Branch Rd
Ozark, MO 65721
Phone (417) 485-8555

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400803200000",
    "number": "1285059089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5540 N FARMER BRANCH RD",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657215315",
            "telephone_number": "417-485-8555",
            "fax_number": "417-485-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 N FARMER BRANCH RD",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657215315",
            "telephone_number": "417-485-8555",
            "fax_number": "417-485-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KPBN APOTHECARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-03",
        "last_updated": "2014-05-23",
        "status": "A",
        "authorized_official_last_name": "ALDRICH",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "417-485-8555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MO",
            "license": "2014004590",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2014004590",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MO",
            "license": "2014004590",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lawrence Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ozark, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.