Organization Active NPI

Jarco, Inc.

Doing business as Strauser Drugs

  • Pharmacy
  • Sullivan, MO
National Provider Identifier
1467454629
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
018077 Issued in MO
Legal business name
JARCO, INC.
Doing business as
Strauser Drugs
Practice address
6 E Springfield Rd
Sullivan, MO 63080-1310
Phone
(573) 468-6464
Fax
(573) 468-5204
NPI assigned
Jun 1, 2005
Last updated
Sep 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Authorized official

Name
Mrs. Jari Dawson
Title
Manager
Phone
(573) 468-6464

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X 018077 MO Primary

Addresses

Primary practice location

6 E Springfield Rd
Sullivan, MO 63080-1310

Mailing address

6 E Springfield Rd
Sullivan, MO 63080-1310
Phone (573) 468-6464

Other identifiers 3

IdentifierTypeStateIssuer
620587816MedicaidMO
600587802MedicaidMO
2613986OtherMONCPDP

Other names 1

  • Strauser Drugs Doing business as

National Provider Directory

National Provider Directory

Locations

6 E Springfield Rd
Sullivan, MO 63080
Phone (573) 468-6464

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1467454629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 E SPRINGFIELD RD",
            "city": "SULLIVAN",
            "state": "MO",
            "postal_code": "630801310",
            "telephone_number": "573-468-6464",
            "fax_number": "573-468-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 E SPRINGFIELD RD",
            "city": "SULLIVAN",
            "state": "MO",
            "postal_code": "630801310",
            "telephone_number": "573-468-6464",
            "fax_number": "573-468-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARCO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "JARI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "573-468-6464",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MO",
            "license": "018077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620587816",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600587802",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2613986",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Strauser Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sullivan, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.