Clarest Health 7931, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

2008030421 Issued in MO

Legal business name

CLAREST HEALTH 7931, LLC

Practice address

509 S Union Ave
Springfield, MO 65802-2659

Phone

(417) 865-2900

Fax

(417) 865-2901

NPI assigned

Oct 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Bincy Varghese, PHARM D

Title

Corporate Compliance Officer

Phone

(631) 359-9711

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO3 enrollments

Enrollment records 3

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

Medicare medical equipment & supply locations

Tax ID family

Clarest Health 7931 LLC2 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.

• Integrity LLC

  • Long Term Care Pharmacy
  • Grandview, MO
  • NPI 1922438191
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Integrity Home Care, LLC

  • Home Health Agency
  • Springfield, MO
  • NPI 1821096611

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1295987931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 SEA LN",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353900",
            "telephone_number": "631-359-9711",
            "fax_number": "631-212-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 S UNION AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658022659",
            "telephone_number": "417-865-2900",
            "fax_number": "417-865-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAREST HEALTH 7931, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "VARGHESE",
        "authorized_official_first_name": "BINCY",
        "authorized_official_title_or_position": "CORPORATE COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "631-359-9711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MO",
            "license": "2008030421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2117411",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "606395903",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Susan Cicero, M.S., CCC-SLP
• Lisa Marie Cillessen, PHARMD, RPH
• Sarah A Cimino, D.D.S
• City of Springfield
• City Utilities of Springfield, Missouri
• Clark Family Medicine, LLC
• Autumn Clark, DO
• Brittney Nichole Clark, LMT
• Elizabeth Lee Clark, OTR/L
• Jonathan Clark

• Long Term Care Pharmacy in Springfield, MO
• Providers in Springfield, MO by specialty
• Long Term Care Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.