Bruners Monett Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Monett, MO
NPI 1336285121 · NPPES record last updated Mar 23, 2023
Key facts
- NPI
- 1336285121
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 002253 (MO)
- Legal business name
- BRUNERS MONETT PHARMACY INC
- Practice address
- 321 E Broadway St
Monett, MO 65708-2329 - Phone
- (417) 235-3139
- Fax
- (417) 459-4783
- NPI assigned
- Jan 29, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. John Bruner, RPH
- Title
- Owner
- Phone
- (417) 235-3139
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 1
Practitioners 3
-
Andrew James Bahl, RPH
-
John Michael Bruner, RPH
-
Trenton Patton, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930001443 | MO | DME Supplier - Pharmacy |
7719005198 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Monett, MO |
| O20250730002173 | MO | Part B Supplier - Pharmacy | 7719005198 | Practice locations: Monett, MO |
National Provider Directory
Locations
321 E Broadway St
Monett, MO 65708
Phone (417) 235-3139
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 002253 | MO | Yes |
Addresses
Primary practice location
321 E Broadway St
Monett, MO 65708-2329
Mailing address
321 E Broadway St
Monett, MO 65708-2329
Phone (417) 235-3139
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922089549 | Other | MO | NPI FOR MEDICAL EQUIPMENT |
| 2602236 | Other | MO | NCPDP NUMBER |
| 600093801 | Medicaid | MO |
Other providers in Monett, MO
- Allison Elizabeth Brewer
- Paul H. Bricker
- Jennifer Brown
- Lauren Marie Brown
- John Michael Bruner
- Bruners Monett Pharmacy Inc
- Tiana Burnside
- Nichole Norgard Carnahan
- Boyd D Carpenter
- Jeffrey David Carr
All providers in Monett, 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 Mar 23, 2023. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.