Town & Country Grocers of Fredericktown Mo Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

006148 Issued in MO

Legal business name

TOWN & COUNTRY GROCERS OF FREDERICKTOWN MO INC

Practice address

210 E Murta St
Fredericktown, MO 63645-1018

Phone

(573) 783-2788

Fax

(537) 783-7899

NPI assigned

Nov 27, 2006

Organization subpart

No

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

Authorized official

Name

Linda Kemp

Title

President

Phone

(573) 783-5703

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• DICUS DRUGS Doing business as

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1346316007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E MURTA ST",
            "city": "FREDERICKTOWN",
            "state": "MO",
            "postal_code": "636451018",
            "telephone_number": "573-783-2788",
            "fax_number": "537-783-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E MURTA ST",
            "city": "FREDERICKTOWN",
            "state": "MO",
            "postal_code": "636451018",
            "telephone_number": "573-783-2788",
            "fax_number": "537-783-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN & COUNTRY GROCERS OF FREDERICKTOWN MO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "KEMP",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-783-5703"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "006148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2048865",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601894405",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DICUS DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Therapy With Rhonda Palmer LLC
• Carol Marie Thurman, PLPC
• Judith A Thurmond
• Hannah Rachelle Tinnin, LPC
• Town & Country Grocers of Fredericktown MD Inc
• Tradewinds Palliative Care LLC.
• Dorcas Unruh, MS, LPC
• Wagner Residential Care Inc
• Wal-Mart Stores East LP
• Charles M Walbaum, CRNA

• All providers in Fredericktown, MO
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.