Organization Active NPI

Food Merchants LLC

Doing business as Alps Specialty Pharmacy

  • Specialty Pharmacy
  • Nixa, MO
National Provider Identifier
1356891774
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
2016042467 Issued in MO
Legal business name
FOOD MERCHANTS LLC
Doing business as
Alps Specialty Pharmacy
Practice address
105 S Ridgecrest Ave Ste 3a
Nixa, MO 65714-6206
Phone
(417) 719-4510
Fax
(417) 893-3908
NPI assigned
Oct 10, 2016
Last updated
Apr 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Authorized official

Name
Donald G Savley
Title
Owner
Phone
(417) 818-3125

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X
Specialty Pharmacy 3336S0011X 2016042467 MO Primary

Addresses

Primary practice location

105 S Ridgecrest Ave Ste 3a
Nixa, MO 65714-6206

Mailing address

PO Box 397
Nixa, MO 65714-0397
Phone (417) 818-3125

Other names 1

  • Alps Specialty Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170210000521 MO Part B Supplier - Pharmacy 1456569029 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Springfield, MO; Nixa, MO; Anderson, MO
O20220103000060 MO DME Supplier - Pharmacy 1456569029 Practice locations: Nixa, MO

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2127426Alps Specialty Pharmacy105 Ridgecrest Ave, Suite 3a, Nixa, MO 65714Certificate of waiverMar 13, 2027

National Provider Directory

National Provider Directory

Member of 1

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

Locations

105 S Ridgecrest Ave
Ste 3A
Nixa, MO 65714
Phone (417) 719-4510

1824 N State Highway CC
Ste B
Nixa, MO 65714
Phone (417) 719-4510

NPI Registry JSON

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1356891774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 397",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657140397",
            "telephone_number": "417-818-3125",
            "fax_number": "417-374-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S RIDGECREST AVE STE 3A",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657146206",
            "telephone_number": "417-719-4510",
            "fax_number": "417-893-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOD MERCHANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "SAVLEY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-818-3125"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "MO",
            "license": "2016042467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alps Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alps Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nixa, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.