Phillips Family Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2013005206 Issued in MO

Legal business name

PHILLIPS FAMILY PHARMACY, LLC

Practice address

2101 NW Platte Rd
Riverside, MO 64150-9627

Phone

(816) 569-2125

Fax

(816) 569-5075

NPI assigned

Feb 19, 2013

Last updated

Feb 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Josie D Phillips, PHARM.D.

Title

Pharmacist/Owner

Phone

(417) 766-9893

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

Locations

Practitioners 4

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.

• Ashley Kate Cummins, PHARMD

  • Pharmacist
  • Riverside, MO
  • NPI 1457960569
  NPD
• Josie Deeanna Ross, PHARM.D.

  • Pharmacist
  • Riverside, MO
  • NPI 1255944054
  NPD
• Jessica Smith, PHARMD

  • Pharmacist
  • Riverside, MO
  • NPI 1851223572
  NPD (past)
• Robert Keith Fullmer, PHARM D

  • Pharmacist
  • Kansas City, KS
  • NPI 1063001154
  NPD (past)

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1295075810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 NW PLATTE RD",
            "city": "RIVERSIDE",
            "state": "MO",
            "postal_code": "641509627",
            "telephone_number": "816-569-2125",
            "fax_number": "816-569-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 NW PLATTE RD",
            "city": "RIVERSIDE",
            "state": "MO",
            "postal_code": "641509627",
            "telephone_number": "816-569-2125",
            "fax_number": "816-569-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS FAMILY PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-19",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JOSIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "417-766-9893",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2013005206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael D Arnett, DDS, PC (Briarcliff Dental Care)
• Robert Alan Mitchell, PT, BSPT
• Brittany Neri, ATC, LAT
• Morgan Lyn Newman, DPT
• Krishna Patel
• Pinnacle Point Wellness & Rehabilitation LLC (Pinnacle Point Wellness & Rehabilitation)
• Polaris Specialty Pharmacy LLC (Polaris Specialty RX)
• Polaris Specialty Pharmacy LLC (Polaris Pharmacy Services of Missouri)
• Jessie Brei Riojas
• Riverside Nursing and Rehabilitation Center LLC

• Community/Retail Pharmacy in Riverside, MO
• Providers in Riverside, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.