Alliant LTC Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

ALLIANT LTC PHARMACY LLC

Doing business as

Alliant LTC

Practice address

5497 N 17TH St
Ozark, MO 65721-7663

Phone

(417) 485-6200

Fax

(417) 485-6201

NPI assigned

Aug 2, 2018

Organization subpart

No

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

Authorized official

Name

Mark McMullin

Title

Owner

Phone

(573) 290-2332

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Alliant LTC Doing business as
• John's Rx Southwest LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William E Taylor, PHARM D

  • Pharmacist
  • Ozark, MO
  • NPI 1609359967
  NPD (past)

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1306324173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 INDEPENDENCE ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035805",
            "telephone_number": "573-334-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5497 N 17TH ST",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657217663",
            "telephone_number": "417-485-6200",
            "fax_number": "417-485-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANT LTC PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-02",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "MCMULLIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-290-2332"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306324173",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliant LTC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "John's Rx Southwest LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Michelle Ackermann, LCSW
• Rachel Elizabeth Adams, MS
• Allison Adler
• Ads Ozark LP
• Alliance Rehab & Medical Equipment
• Justin R Allphin, PA-C
• Richard Benjamin Alvarez, DDS
• Amy Marlene Ashley, PMHNP
• Tricia D Atkinson, RDH
• Jacqueline Austin, FNP-C

• Long Term Care Pharmacy in Ozark, MO
• Providers in Ozark, 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 Oct 13, 2021; 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.