B Y Enterprises Inc
Organization Active NPI Community/Retail Pharmacy · Sikeston, MO
NPI 1306156963 · NPPES record last updated Jun 17, 2016
Key facts
- NPI
- 1306156963
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 2010034498 (MO)
- Legal business name
- B Y ENTERPRISES INC
- Practice address
- 808 Hunter Ave Ste 1a
Sikeston, MO 63801-2253 - Phone
- (573) 475-1900
- Fax
- (573) 472-1814
- NPI assigned
- Oct 18, 2010
- Organization subpart
- No
Authorized official
- Name
- Ross Merideth, PHARM D
- Title
- Pharmacist in Charge
- Phone
- (573) 472-0608
Other NPIs on the same Medicare enrollment 3
Corporate family (same tax ID) 3
Practitioners 2
-
Ross Merideth, PHARM D
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210224002065 | MO | Part B Supplier - Pharmacy | 0244592160 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lees Summit, MO; Sikeston, MO |
National Provider Directory
- Tax ID family
- B Y Enterprises Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 2010034498 | MO | Yes |
Addresses
Primary practice location
808 Hunter Ave Ste 1a
Sikeston, MO 63801-2253
Mailing address
PO Box 886
Sikeston, MO 63801-0886
Phone (573) 475-1900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 606493005 | Medicaid | MO | |
| 2127022 | Other | PK |
Other names
- Sterling Pharmacy
Other providers in Sikeston, MO
- Apex Transit LLC
- Jane Kiunisala Apurado
- Allyson Elizabeth Asmus
- Brielle Caldwell Asuncion
- Imee Atabay-Secillano
- B Y Enterprises Inc
- Kayla Babb
- Lauren Michele Babb
- Justin H Bain
- Qasim Mustafa Bajwa
All providers in Sikeston, MO · Community/Retail Pharmacy in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.