Chillicothe Family Pharmacy, LLC
Organization Active NPI Community/Retail Pharmacy · Chillicothe, MO
NPI 1407245012 · NPPES record last updated May 14, 2019
Key facts
- NPI
- 1407245012
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 2015012618 (MO)
- Legal business name
- CHILLICOTHE FAMILY PHARMACY, LLC
- Practice address
- 504 S Washington St
Chillicothe, MO 64601-3038 - Phone
- (660) 240-0828
- Fax
- (660) 070-0019
- NPI assigned
- Jan 20, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Scott A Cady, PHARMD
- Title
- Pic/ Co-Owner
- Phone
- (660) 240-0828
Practitioners 3
-
Scott Allen Cady, PHARMD
-
Aubrey Dayle Jessen, PHARMD
-
Jennifer Powell, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151012000582 | MO | DME Supplier - Pharmacy | 1658682778 | Practice locations: Chillicothe, MO |
| O20190403001911 | MO | Part B Supplier - Pharmacy | 1658682778 | Practice locations: Chillicothe, MO |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse |
163WD0400X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | 2015012618 | MO | |
| Community/Retail Pharmacy | 3336C0003X | 2015012618 | MO | Yes |
Addresses
Primary practice location
504 S Washington St
Chillicothe, MO 64601-3038
Mailing address
504 S Washington St
Chillicothe, MO 64601-3038
Phone (660) 240-0828
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600021831 | Medicaid | MO |
Other providers in Chillicothe, MO
- Mary Frances Cady
- Scott Allen Cady
- Cal W Greenlaw MD PC
- Dea Denise Campbell
- Chillicothe Family Pharmacy, LLC
- Chillicothe Manor I LLC
- Chillicothe R-II School District
- Chillicothe Womens Clinic LLC
- Kelly Chrisman
- City of Chillicothe
All providers in Chillicothe, MO · Community/Retail Pharmacy in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.