NPIMap

Organization Active NPI

Star Pharmacy, Inc.

  • Pharmacist
  • Hartville, MO
National Provider Identifier
1437235397
Registry record updated Jan 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
042865 Issued in MO
Legal business name
STAR PHARMACY, INC.
Practice address
118 East Rolla St
Hartville, MO 65667-0069
Phone
(417) 741-6266
Fax
(417) 741-1616
NPI assigned
Oct 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2009

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

Authorized official

Name
Mr. Orland O. Amundson, RPH
Title
President
Phone
(417) 741-6266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 042865 MO Primary

Addresses

Primary practice location

118 East Rolla St
Hartville, MO 65667-0069

Mailing address

PO Box 69
Hartville, MO 65667-0069
Phone (417) 741-6266

Other identifiers 1

IdentifierTypeStateIssuer
601584006MedicaidMO

Other names 1

  • star pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1437235397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "HARTVILLE",
            "state": "MO",
            "postal_code": "656670069",
            "telephone_number": "417-741-6266",
            "fax_number": "417-741-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 EAST ROLLA ST",
            "city": "HARTVILLE",
            "state": "MO",
            "postal_code": "656670069",
            "telephone_number": "417-741-6266",
            "fax_number": "417-741-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "AMUNDSON",
        "authorized_official_first_name": "ORLAND",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-741-6266",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "042865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601584006",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "star pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hartville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; 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.