Austin Plaza Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

002790 Issued in MO

Legal business name

AUSTIN PLAZA PHARMACY INC

Practice address

410 E High St Ste a
Potosi, MO 63664-1927

Phone

(573) 438-2349

Fax

(573) 438-8877

NPI assigned

Sep 6, 2006

Last updated

Jan 4, 2018By 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

Kellie Thompson

Title

President

Phone

(573) 768-1529

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515024000000",
    "number": "1366545592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E HIGH ST STE A",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636641927",
            "telephone_number": "573-438-2349",
            "fax_number": "573-438-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E HIGH ST STE A",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636641927",
            "telephone_number": "573-438-2349",
            "fax_number": "573-438-8877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 E High St",
            "address_purpose": "LOCATION",
            "city": "Potosi",
            "state": "MO",
            "postal_code": "636641927",
            "country_code": "US",
            "telephone_number": "573-438-2349",
            "fax_number": "573-438-8877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AUSTIN PLAZA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2018-01-04",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-768-1529"
    },
    "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": "002790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamal Akhtar, FNP
• David Orie Albert Sr., O.D.
• Patricia Louise Allen, APRN
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• Bethany Renae Aubuchon, LCSW
• Michelle Danielle Barnes, AE-C
• Michael Dennis Barnum, M.D.
• Timothy Will Christopher Bass, M.D.
• Kallie Belfield
• Mackenzie Bennett

• Community/Retail Pharmacy in Potosi, MO
• Providers in Potosi, 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 Jan 4, 2018; 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.