Organization Active NPI

Kreisler Drug Store

  • Durable Medical Equipment & Medical Supplies
  • Clinton, MO
National Provider Identifier
1427177955
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
PS002683 Issued in MO
Legal business name
KREISLER DRUG STORE
Practice address
117 W Franklin St
Clinton, MO 64735-2007
Phone
(660) 885-5551
Fax
(660) 885-6940
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jim Naber
Title
Pharmacist
Phone
(660) 885-5551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PS002683 MO Primary

Addresses

Primary practice location

117 W Franklin St
Clinton, MO 64735-2007

Mailing address

PO Box 528
Clinton, MO 64735-0528
Phone (660) 885-5551

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427177955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 528",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647350528",
            "telephone_number": "660-885-5551",
            "fax_number": "660-885-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W FRANKLIN ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352007",
            "telephone_number": "660-885-5551",
            "fax_number": "660-885-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREISLER DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NABER",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "660-885-5551"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "PS002683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.