Niemann Foods Inc
Organization Active NPI Pharmacy · Canton, MO
NPI 1386941326 · NPPES record last updated Sep 27, 2021
Key facts
- NPI
- 1386941326
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- 2011023099 (MO)
- Legal business name
- NIEMANN FOODS INC
- Practice address
- 1805 Elm St
Canton, MO 63435-1685 - Phone
- (573) 288-5151
- Fax
- (573) 288-0352
- NPI assigned
- Feb 25, 2011
- Organization subpart
- No
Authorized official
- Name
- Christopher Niemann
- Title
- Evp/Cfo
- Phone
- (217) 221-5615
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | 2011023099 | MO | Yes |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
1805 Elm St
Canton, MO 63435-1685
Mailing address
PO Box C847
Quincy, IL 62306-0847
Phone (217) 221-5641
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 606556306 | Medicaid | MO | |
| 2129007 | Other | PK |
Other names
- County Market Pharmacy 409
Other providers in Canton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.