Food Merchants LLC
Organization Active NPI Community/Retail Pharmacy · Nixa, MO
NPI 1316656390 · NPPES record last updated Nov 18, 2022
Key facts
- NPI
- 1316656390
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- FOOD MERCHANTS LLC
- Practice address
- 105 S Ridgecrest Ave Ste 9
Nixa, MO 65714-6206 - Phone
- (417) 725-5252
- NPI assigned
- Nov 18, 2022
- Organization subpart
- No
Authorized official
- Name
- Donald G Savley
- Title
- Owner/Ceo
- Phone
- (417) 818-3125
Other NPIs on the same Medicare enrollment 3
Corporate family (same tax ID) 4
Practitioners 3
-
Samantha Hamilton, PHARMD
-
Brenna Jean Neumann, PHARM.D.
-
Sydney Taylor Stevens, PHARMD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2291633 | Alps Pharmacy Nixa | Certificate of waiver | Oct 12, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170210000521 | MO | Part B Supplier - Pharmacy | 1456569029 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Springfield, MO; Nixa, MO; Anderson, MO |
National Provider Directory
- Tax ID family
- Food Merchants LLC
Locations
105 S Ridgecrest Ave
Ste 9
Nixa, MO 65714
Phone (417) 725-5252
212 Village Center St
Ste A
Nixa, MO 65714
Phone (417) 989-0140
2828 N National Ave
Ste B
Springfield, MO 65803
Phone (417) 719-4510
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
105 S Ridgecrest Ave Ste 9
Nixa, MO 65714-6206
Mailing address
PO Box 397
Nixa, MO 65714-0397
Phone (417) 725-5252
Other names
- Alps Pharmacy Nixa
Other providers in Nixa, MO
- Emma Finney
- Kody Blake Finstad
- Mary Helen Fishburn
- Rhonda Lynn Flannery
- Elizabeth Ann Fliege
- Food Merchants LLC
- Food Merchants, LLC
- Food Merchants, LLC
- Kelly L. Fournier
- Katelyn Michelle Fulwider
All providers in Nixa, 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 Nov 18, 2022. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.