NPIMap

Organization Active NPI

Red Cross Pharmacy, Inc

  • Long Term Care Pharmacy
  • Higginsville, MO
National Provider Identifier
1306891734
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
2007033675 Issued in MO
Legal business name
RED CROSS PHARMACY, INC
Practice address
1712 Main St
Higginsville, MO 64037-1345
Phone
(660) 584-2110
Fax
(660) 584-5589
NPI assigned
May 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Authorized official

Name
Scott B Hartwig
Title
Co-President/Ceo (Owner)
Phone
(660) 886-5535

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 2007033676 MO
Long Term Care Pharmacy 3336L0003X 2007033675 MO Primary

Addresses

Primary practice location

1712 Main St
Higginsville, MO 64037-1345

Mailing address

PO Box 917
Marshall, MO 65340-0917
Phone (660) 886-5535

Other identifiers 1

IdentifierTypeStateIssuer
605194307MedicaidMO

Other names 1

  • Red Cross LTC Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040929000382 MO Part B Supplier - Mass Immunization (Roster Biller Only) 2466421102 20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Excelsior Springs, MO; Marshall, MO

Other NPIs on the same Medicare enrollment 19

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 19

National Provider Directory

National Provider Directory

Member of 1

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1306891734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 917",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653400917",
            "telephone_number": "660-886-5535",
            "fax_number": "660-886-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 MAIN ST",
            "city": "HIGGINSVILLE",
            "state": "MO",
            "postal_code": "640371345",
            "telephone_number": "660-584-2110",
            "fax_number": "660-584-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED CROSS PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "HARTWIG",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CO-PRESIDENT/CEO (OWNER)",
        "authorized_official_telephone_number": "660-886-5535"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "2007033676",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MO",
            "license": "2007033675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "605194307",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Cross LTC Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Higginsville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.