Semo Drugs Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

003238 Issued in MO

Legal business name

SEMO DRUGS INC

Practice address

339 E Commercial St
Senath, MO 63876-0000

Phone

(573) 738-2097

Fax

(573) 738-2233

NPI assigned

Oct 3, 2005

Last updated

Feb 8, 2024By 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

Dr. Brandon G MichaelNPI 1912599895

Title

Pharmacist in Charge

Phone

(573) 738-2098

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Semo Drugs Inc

  dba Bootheel Drugs LTC

  • Long Term Care Pharmacy
  • Senath, MO
  • NPI 1639901259
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brandon Glenn Michael, PHARM.D

  • Pharmacist
  • Gosnell, AR
  • NPI 1912599895
  NPD Authorized official
• Tyson Wallace, PHARM. D.

  • Pharmacist
  • Gosnell, AR
  • NPI 1982296877
  NPD

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1356338669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700",
            "city": "SENATH",
            "state": "MO",
            "postal_code": "638760700",
            "telephone_number": "573-738-2097",
            "fax_number": "573-737-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 E COMMERCIAL ST",
            "city": "SENATH",
            "state": "MO",
            "postal_code": "638760000",
            "telephone_number": "573-738-2097",
            "fax_number": "573-738-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMO DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "573-738-2098",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2005004198",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "045262",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "003238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600051205",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haylee Dawn Malone
• N & R of Senath North, Inc. (Senath Nursing Home)
• N & R of Senath South, Inc. (Senath Nursing Home South)
• New Day Recovery - Senath, L.L.C.
• Semo Drug - Care Plus of Mo, Inc. (Quipt Home Medical)
• Semo Drugs Inc (Bootheel Drugs LTC)
• Senath Health Care Center, L.L.C. (Senath Health Care Center)
• Senath Nursing and Rehabilitation, LLC
• Senath South Health Care Center, L.L.C. (Senath South Health Care Center)
• Senath South Nursing and Rehabilitation, LLC

• Community/Retail Pharmacy in Senath, MO
• Providers in Senath, 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 Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.