Elsten Enterprises Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

004206 Issued in MO

Legal business name

ELSTEN ENTERPRISES INC

Practice address

2602 McClelland Blvd
Joplin, MO 64804-1621

Phone

(417) 781-8383

Fax

(417) 781-8375

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Gerald Carpenter

Title

Owner

Phone

(417) 781-8383

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• PRONTO PHARMACY Doing business as

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1306935952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 MCCLELLAND BLVD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041621",
            "telephone_number": "417-781-8383",
            "fax_number": "417-781-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 MCCLELLAND BLVD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041621",
            "telephone_number": "417-781-8383",
            "fax_number": "417-781-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELSTEN ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-781-8383"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "004206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601438708",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2620727",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRONTO PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolyn Elmborg, CRNA
• Dallin Daniel Elmer, DO
• Abbey Elmore
• Omar Hamed Elmowafy
• Abdulla Elsayadh
• Emily Katherine Handley, DDS, PC
• Cory Bryant Emmert, DO
• Sheree Dawn Emmert, NP
• Jill A Endicott, NP
• Randy A. Engelman, DO

• Community/Retail Pharmacy in Joplin, MO
• Providers in Joplin, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.