Arcadia Valley Drug Co

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

2008004661 Issued in MO

Legal business name

ARCADIA VALLEY DRUG CO

Practice address

1351 Airpark Dr
Farmington, MO 63640-2066

Phone

(573) 760-0333

Fax

(573) 760-0521

NPI assigned

Mar 21, 2008

Organization subpart

No

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

Authorized official

Name

Stephen Lafrance Jr

Title

President

Phone

(501) 492-4662

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SOUTHEAST MISSOURI QUALITY CARE Doing business as

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Arcadia Valley Drug Acquisition Co

  • Pharmacy
  • Ironton, MO
  • NPI 1578542924

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1376714014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 AIRPARK DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636402066",
            "telephone_number": "573-760-0033",
            "fax_number": "573-760-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 AIRPARK DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636402066",
            "telephone_number": "573-760-0333",
            "fax_number": "573-760-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCADIA VALLEY DRUG CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "LAFRANCE JR",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-492-4662"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MO",
            "license": "2008004661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2049633",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136714014",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHEAST MISSOURI QUALITY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Farmington, MO
• Long Term Care Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.