Guardian Pharmacy of Missouri LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

2016023396 Issued in MO

Legal business name

GUARDIAN PHARMACY OF MISSOURI LLC

Practice address

2107 E Rockhurst St Ste C
Springfield, MO 65802-6502

Phone

(417) 864-5873

Fax

(417) 864-5874

NPI assigned

Jul 1, 2016

Organization subpart

No

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

Authorized official

Name

Michael Counts

Title

President

Phone

(417) 864-5873

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Guardian Pharmacy of Missouri Doing business as

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540857600000",
    "number": "1326490376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 E ROCKHURST ST STE C",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658026502",
            "telephone_number": "404-810-0094",
            "fax_number": "404-810-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 E ROCKHURST ST STE C",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658026502",
            "telephone_number": "417-864-5873",
            "fax_number": "417-864-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN PHARMACY OF MISSOURI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-01",
        "last_updated": "2018-10-30",
        "status": "A",
        "authorized_official_last_name": "COUNTS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-864-5873"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MO",
            "license": "2016023396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326490376",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166287",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardian Pharmacy of Missouri",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Rachelle Groves, LLC
• Hannah Groves
• Erin M Grubbs, M.S.
• Shane Gruener, PA
• Jean Ye-Qiong Guan
• Dayna Gubler, PTA
• Jessica Guccione, MA, PLPC
• Olivia Arden Guengerich, LMSW
• Karina Marie Guffey, PMHNP-BC, FNP-BC
• Kunalpreet Singh Gugnani, MD

• Long Term Care Pharmacy in Springfield, MO
• Providers in Springfield, 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 30, 2018; 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.