Ozarks Medical Center
Organization Active NPI Community/Retail Pharmacy · Thayer, MO
NPI 1457482788 · NPPES record last updated Jul 16, 2026
Key facts
- NPI
- 1457482788
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- OZARKS MEDICAL CENTER
- Practice address
- 1375 Nettleton Ave
Thayer, MO 65791-8740 - Phone
- (417) 264-7115
- Fax
- (417) 264-9115
- NPI assigned
- Mar 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Terence F Farrell, MHA, FACHE
- Title
- President/Ceo
- Phone
- (417) 256-9111
Other NPIs on the same Medicare enrollment 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210604001810 | MO | Part B Supplier - Pharmacy | 3870491863 |
4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Gainesville, MO; West Plains, MO; Thayer, MO; Mountain Grove, MO |
National Provider Directory
Locations
200 Warmfork Rd
Thayer, MO 65791
Phone (417) 264-7115
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
1375 Nettleton Ave
Thayer, MO 65791-8740
Mailing address
1375 Nettleton Ave
Thayer, MO 65791-8740
Phone (417) 264-7115
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 278611407 | Medicaid | AR | |
| 600061527 | Medicaid | MO |
Other names
- Ozarks Healthcare Pharmacy Thayer
- Cooper Drug Store
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | 2.16.840.1.113883.3.1476 | Health Information Exchange (HIE) | Ozarks Medical Center |
Other providers in Thayer, MO
- Mill Creek Supportive Care LLC
- Celsie Morrow
- Moving Mountains Therapies LLC
- Newton'S Group Home of Thayer, Inc.
- Oregon County Ambulance District
- Ozarks Medical Center
- Ozarks Medical Center
- Samir P Patel
- Scott R. Ream
- Rural Alliance for Better Family Health
All providers in Thayer, 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 Jul 16, 2026. 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.