Brewer Drugs Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

2006029484 Issued in MO

Legal business name

BREWER DRUGS INC

Practice address

124 N Washington St
East Prairie, MO 63845-1140

Phone

(573) 649-3923

Fax

(573) 649-3761

NPI assigned

Sep 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Susan M Marshall, PHARMD

Title

Pharmacist/Owner

Phone

(573) 649-3761

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Beauton Drug Doing business as

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

Tax ID family

Beauton Drug2 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.

• Brewer Drugs Inc

  • Community/Retail Pharmacy
  • East Prairie, MO
  • NPI 1891838959
  NPD tax ID

Locations

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1306032404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 N WASHINGTON ST",
            "city": "EAST PRAIRIE",
            "state": "MO",
            "postal_code": "638451140",
            "telephone_number": "573-649-3923",
            "fax_number": "573-649-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N WASHINGTON ST",
            "city": "EAST PRAIRIE",
            "state": "MO",
            "postal_code": "638451140",
            "telephone_number": "573-649-3923",
            "fax_number": "573-649-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREWER DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "573-649-3761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "2006029484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620098400",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beauton Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beauton Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aspire Senior Living East Prairie, LLC
• Because We Care
• Because We Care LLC
• Bowers Group Home
• Bowers Group Home
• Brewer Drugs Inc
• William Brewer, RPH
• Alyn G Davis
• Caitlin Davis, PHARM.D.
• Steven L. Douglas, M.D.

• Durable Medical Equipment & Medical Supplies in East Prairie, MO
• Providers in East Prairie, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.