NPIMap

Organization Active NPI

Piedmont Family Pharmacy

  • Community/Retail Pharmacy
  • Piedmont, MO
National Provider Identifier
1285780940
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2004003549 Issued in MO
Legal business name
PIEDMONT FAMILY PHARMACY
Practice address
#1 Hal'S Plaza Drive
Piedmont, MO 63957
Phone
(573) 223-4823
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Bruce Eady
Title
Ceo
Phone
(573) 686-5311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 2004003549 MO Primary

Addresses

Primary practice location

#1 Hal'S Plaza Drive
Piedmont, MO 63957

Mailing address

#1 Hal'S Plaza Drive
Piedmont, MO 63957
Phone (573) 223-4823

National Provider Directory

National Provider Directory
Tax ID family
Poplar Bluff Regional Medical Center11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285780940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#1 HAL'S PLAZA DRIVE",
            "city": "PIEDMONT",
            "state": "MO",
            "postal_code": "63957",
            "telephone_number": "573-223-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#1 HAL'S PLAZA DRIVE",
            "city": "PIEDMONT",
            "state": "MO",
            "postal_code": "63957",
            "telephone_number": "573-223-4823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT FAMILY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EADY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-686-5311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2004003549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piedmont, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.