Managed Healthcare, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

005927 Issued in MO

Legal business name

MANAGED HEALTHCARE, LLC

Doing business as

Omnicare of Springfield #48286

Practice address

1947 W Sunset St
Suite 200
Springfield, MO 65807-5903

Phone

(417) 889-4000

Fax

(417) 520-4063

NPI assigned

Aug 31, 2006

Last updated

Jun 12, 2019By 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

Susan Colbert

Title

Sr Director, Payer Relations

Phone

(401) 770-2751

Specialties & licenses 1

Addresses

Other names 1

• Omnicare of Springfield #48286 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.

Medicare medical equipment & supply locations

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• CVS Pharmacy Inc

  dba CVS Pharmacy #10339

  • Pharmacy
  • Lindale, TX
  • NPI 1255320644

  Member Of

  NPD member
• JHC Acquisition LLC

  dba Omnicare of Northern Illinois #48241

  • Long Term Care Pharmacy
  • Des Plaines, IL
  • NPI 1629144563

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1346351442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "BOX 1075",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146",
            "telephone_number": "401-765-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1947 W SUNSET ST",
            "address_2": "SUITE 200",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075903",
            "telephone_number": "417-889-4000",
            "fax_number": "417-520-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANAGED HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "SR DIRECTOR, PAYER RELATIONS",
        "authorized_official_telephone_number": "401-770-2751"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MO",
            "license": "005927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omnicare of Springfield #48286",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen L Mallard, MS, LPC
• Barbara S Mallin, MD
• John J. Maloney, PH.D.
• Benjamin Malonzo, AA
• Jennifer A Malossi, M.D.
• Shaveta Manchanda, MD
• Jade N. Manczuk, RD, LD
• Murali Mandava
• Donald H. Mangum, MD
• Hersh S Maniar, 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 Jun 12, 2019; 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.