NW Carthage LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2013012689 Issued in MO

Legal business name

NW CARTHAGE LLC

Practice address

1601 Missouri Ave
Carthage, MO 64836-3060

Phone

(417) 359-8185

Fax

(417) 359-8276

NPI assigned

Apr 22, 2013

Organization subpart

No

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

Authorized official

Name

Galen Perkins

Title

Ceo

Phone

(501) 258-4399

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Express Rx of Carthage Doing business as

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1487098448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34407",
            "address_2": "PMB 53760",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722034407",
            "telephone_number": "501-534-4459",
            "fax_number": "501-534-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MISSOURI AVE",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648363060",
            "telephone_number": "417-359-8185",
            "fax_number": "417-359-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW CARTHAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-22",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "GALEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "501-258-4399"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2013012689",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600005462",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2140170",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Rx of Carthage",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Express Rx of Carthage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Carthage, MO
• Providers in Carthage, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.