Tim Mitchell Medical Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

TIM MITCHELL MEDICAL INC

Doing business as

Mitchell's Drug Stores on the Boulevard

Practice address

719 S Neosho Blvd
Neosho, MO 64850-2051

Phone

(417) 451-9501

Fax

(417) 451-9594

NPI assigned

Jun 28, 2023

Organization subpart

No

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

Authorized official

Name

Timothy G Mitchell, RPH

Title

Owner

Phone

(417) 451-9501

Specialties & licenses 1

Addresses

Other names 1

• Mitchell's Drug Stores on the Boulevard Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Pineville 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.

• Tim Mitchell Medical, Inc

  • Long Term Care Pharmacy
  • Neosho, MO
  • NPI 1437650835
  NPD tax ID

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1477230845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 S NEOSHO BLVD",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648502051",
            "telephone_number": "417-451-9501",
            "fax_number": "417-451-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 S NEOSHO BLVD",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648502051",
            "telephone_number": "417-451-9501",
            "fax_number": "417-451-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM MITCHELL MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-451-9501",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mitchell's Drug Stores on the Boulevard",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyson Stout, RDH
• Robert Leroy Sweeten Jr., M.D.
• Talley Chiropractic Offices, P.C.
• Patricia Arlene Thompson, DC
• Tim Mitchell Medical Inc
• Tim Mitchell Medical Inc
• Tim Mitchell Medical, Inc
• Tim Mitchell Medical, Inc
• Tim Mitchell Medical, Inc
• Tim Mitchell Medical, Inc

• Long Term Care Pharmacy in Neosho, MO
• Providers in Neosho, MO by specialty
• Long Term Care Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.