Organization Active NPI

RX Shops, Inc

  • Durable Medical Equipment & Medical Supplies
  • Lebanon, MO
National Provider Identifier
1467592030
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
043905 Issued in MO
Legal business name
RX SHOPS, INC
Doing business as
GINGER'S HOMETOWN PHARMACY
Practice address
550 N Jefferson Ave
Lebanon, MO 65536-2744
Phone
(417) 532-9110
Fax
(417) 532-9156
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ginger Lynn Miller, RPHNPI 1295085082
Title
Owner
Phone
(417) 532-9110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 043905 MO Primary

Addresses

Primary practice location

550 N Jefferson Ave
Lebanon, MO 65536-2744

Mailing address

550 N Jefferson Ave
Lebanon, MO 65536-2744
Phone (417) 532-9110

Other names 1

  • GINGER'S HOMETOWN PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930090746 MO DME Supplier - Pharmacy 6709906456 Practice locations: Lebanon, MO

National Provider Directory

National Provider Directory
Tax ID family
Ginger'S Hometown Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

550 N Jefferson Ave
Lebanon, MO 65536
Phone (417) 532-9110

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467592030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N JEFFERSON AVE",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655362744",
            "telephone_number": "417-532-9110",
            "fax_number": "417-532-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N JEFFERSON AVE",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655362744",
            "telephone_number": "417-532-9110",
            "fax_number": "417-532-9156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX SHOPS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GINGER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-532-9110",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "043905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GINGER'S HOMETOWN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lebanon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.