Active NPI
Sweet Springs Pharmacy Inc
Doing business as Sweet Springs Pharmacy
- Community/Retail Pharmacy
- Sweet Springs, MO
National Provider Identifier
1457436743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2004028026
- Legal business name
- SWEET SPRINGS PHARMACY INC
- Doing business as
- Sweet Springs Pharmacy
- Practice address
- 401 S Locust St
Sweet Springs, MO 65351-1308 - Phone
- (660) 335-6300
- Fax
- (660) 335-6822
- NPI assigned
- Oct 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony Eugene Clark
- Title
- Director of Operations
- Phone
- (660) 247-1580
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 2004028026 | MO | Primary |
| Compounding Pharmacy | 3336C0004X |
Addresses
Primary practice location
401 S Locust St
Sweet Springs, MO 65351-1308
Mailing address
401 S Locust St
Sweet Springs, MO 65351-1308
Phone (660) 335-6300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 606154102 | Medicaid | MO | |
| 2049046 | Other | PK |
Other names 1
- SWEET SPRINGS PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071217000821 | MO | Part B Supplier - Mass Immunization (Roster Biller Only) | 0547350357 |
2 other NPIs on this enrollment Practice locations: Cameron, MO; Marceline, MO; Sweet Springs, MO |
| O20100930048019 | MO | DME Supplier - Pharmacy | 0547350357 | Practice locations: Sweet Springs, MO |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Marceline Family Pharmacy
- Pharmacy
- Marceline, MO
- NPI 1659616225
O20071217000821
-
dba Cameron Family Pharmacy
- Pharmacy
- Cameron, MO
- NPI 1891117933
O20071217000821
National Provider Directory
National Provider Directory- Tax ID family
- Sweet Springs Pharmacy Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Sweet Springs, MO
- NPI 1497300396
-
dba Brunswick Family Pharmacy
- Community/Retail Pharmacy
- Brunswick, MO
- NPI 1932863867
Locations
401 S Locust St
Sweet Springs, MO 65351
Phone (660) 335-6300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1637625600000",
"number": "1457436743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 S LOCUST ST",
"city": "SWEET SPRINGS",
"state": "MO",
"postal_code": "653511308",
"telephone_number": "660-335-6300",
"fax_number": "660-335-6822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S LOCUST ST",
"city": "SWEET SPRINGS",
"state": "MO",
"postal_code": "653511308",
"telephone_number": "660-335-6300",
"fax_number": "660-335-6822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SWEET SPRINGS PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-26",
"last_updated": "2021-11-23",
"certification_date": "2021-11-23",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "EUGENE",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "660-247-1580"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MO",
"license": "2004028026",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "606154102",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2049046",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SWEET SPRINGS PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SWEET SPRINGS PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Sweet Springs, MO
- Samuel and Jill Hieronymus (Twin Oaks Independent Living)
- Shirley Romarate Sumilang, PT
- Sweet Springs Ambulance District
- Sweet Springs Ambulance District
- Sweet Springs Life Recovery Inc
- Sweet Springs Pharmacy Inc
- Sweet Springs R-VII School District
- Sweet Springs Recovery LLC
- Sweet Springs Therapy Center Inc
- Shelby Lyn Wilmes, R.D., L.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.