Advantage Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2007016458 Issued in MO

Legal business name

ADVANTAGE PHARMACY, LLC

Practice address

301 E Price Ave Ste B
Savannah, MO 64485-2482

Phone

(816) 324-1229

Fax

(816) 326-9012

NPI assigned

Jun 13, 2007

Last updated

Jun 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Connie Jean Blackford, RN

Title

Member, Manager

Phone

(816) 918-6467

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1336343227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E PRICE AVE STE B",
            "city": "SAVANNAH",
            "state": "MO",
            "postal_code": "644852482",
            "telephone_number": "816-324-1229",
            "fax_number": "816-326-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E PRICE AVE STE B",
            "city": "SAVANNAH",
            "state": "MO",
            "postal_code": "644852482",
            "telephone_number": "816-324-1229",
            "fax_number": "816-326-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "BLACKFORD",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "MEMBER, MANAGER",
        "authorized_official_telephone_number": "816-918-6467",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2007016458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO PHARMACY LICENSE NUM",
            "identifier": "2007016458",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Hope Aderton, LMSW
• Andrew County Ambulance District
• Andrew County Health Department
• Andrew County Nursing Home District (Abundant Acres Care & Rehab)
• Anew Healthcare Operations - Savannah, LLC (Anew Healthcare Savannah)
• Anne Marie Barr, RPH

• Community/Retail Pharmacy in Savannah, MO
• Providers in Savannah, 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 Jun 23, 2008; 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.