Organization Active NPI

Ozark Compounding, Inc.

Doing business as Ozark Compounding Pharmacy

  • Pharmacist
  • West Plains, MO
National Provider Identifier
1336237650
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2005021408 Issued in MO
Legal business name
OZARK COMPOUNDING, INC.
Doing business as
Ozark Compounding Pharmacy
Practice address
2500 Independence SQ
West Plains, MO 65775-4234
Phone
(417) 255-9002
Fax
(417) 255-9014
NPI assigned
Oct 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bethany Layne Bramwell, RPH
Title
Pharmacy Manager
Phone
(417) 255-9002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2005021408 MO Primary

Addresses

Primary practice location

2500 Independence SQ
West Plains, MO 65775-4234

Mailing address

2500 Independence SQ
West Plains, MO 65775-4234
Phone (417) 255-9002

Other names 1

  • OZARK COMPOUNDING PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

2500 Independence Sq
West Plains, MO 65775
Phone (417) 255-9002

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336237650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 INDEPENDENCE SQ",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657754234",
            "telephone_number": "417-255-9002",
            "fax_number": "417-255-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 INDEPENDENCE SQ",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657754234",
            "telephone_number": "417-255-9002",
            "fax_number": "417-255-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK COMPOUNDING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRAMWELL",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_middle_name": "LAYNE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "417-255-9002",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2005021408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OZARK COMPOUNDING PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Plains, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.