Overturf Drug Stores of Dexter, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

OVERTURF DRUG STORES OF DEXTER, INC.

Doing business as

OVERTURF PHARMACY

Practice address

903 West Business Hwy 60
Dexter, MO 63841

Phone

(573) 624-6968

Fax

(573) 624-3635

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Gary Boone

Title

Director of HME Operations

Phone

(479) 394-6363

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• OVERTURF PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1487785358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 HIGHWAY 71 N",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719534367",
            "telephone_number": "479-394-6363",
            "fax_number": "479-394-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 WEST BUSINESS HWY 60",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "63841",
            "telephone_number": "573-624-6968",
            "fax_number": "573-624-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERTURF DRUG STORES OF DEXTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "DIRECTOR OF HME OPERATIONS",
        "authorized_official_telephone_number": "479-394-6363"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620307207",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "29795",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OVERTURF PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Murray, DO
• N & R of Dexter, Inc.
• New Dawn Care LLC
• No Place Like Home in Home Services, LLC
• No Place Like Home in- Home Services, LLC
• Ozark Wellness & Athletic Club
• Julie Palmer, MS,CCC/SLP-L
• Paradigm Rehab Services, LLC
• Paradigm Senior Management LLC
• Judy Pedigo, FNP

• Durable Medical Equipment & Medical Supplies in Dexter, MO
• Providers in Dexter, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.