Niemann Foods Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2013038172 Issued in MO

Legal business name

NIEMANN FOODS INC

Doing business as

County Market Pharmacy 392

Practice address

1555 W US Highway 54
Vandalia, MO 63382-1158

Phone

(573) 594-2136

Fax

(573) 594-2744

NPI assigned

Jan 31, 2007

Last updated

Sep 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christopher Niemann

Title

Evp / Cfo

Phone

(217) 221-5615

Specialties & licenses 1

Addresses

Other names 1

• County Market Pharmacy 392 Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Salois, RPH

  • Pharmacist
  • Vandalia, MO
  • NPI 1760086094
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1447397948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX C847",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623060847",
            "telephone_number": "217-221-5641",
            "fax_number": "217-221-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 W US HIGHWAY 54",
            "city": "VANDALIA",
            "state": "MO",
            "postal_code": "633821158",
            "telephone_number": "573-594-2136",
            "fax_number": "573-594-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIEMANN FOODS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "NIEMANN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "EVP / CFO",
        "authorized_official_telephone_number": "217-221-5615"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2013038172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "County Market Pharmacy 392",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jody L. Horner
• Nicole Marie James, LCSW
• Linda Kendrick, FNP
• Alexandria McCandless, OTA
• Katlyn Renee Meyers, OTR/L
• Pike County Memorial Hospital (PCMH Clinic)
• Pike County Memorial Hospital (PCMH Clinic)
• Patricia Sue Rose-Liana, FNP
• Joseph Salois, RPH
• Teresa L Stice, OD

• Community/Retail Pharmacy in Vandalia, MO
• Providers in Vandalia, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.