Organization Active NPI

Pharmax Partners Inc

  • Community/Retail Pharmacy
  • Festus, MO
National Provider Identifier
1497100887
Registry record updated Jan 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2016018376 Issued in MO
Legal business name
PHARMAX PARTNERS INC
Practice address
116 Walnut St
Festus, MO 63028-1848
Phone
(636) 937-7997
Fax
(636) 937-7998
NPI assigned
May 4, 2016
Last updated
Jan 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2018

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

Authorized official

Name
Larry McIntosh
Title
President
Phone
(314) 954-5510

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 2016018376 MO Primary

Addresses

Primary practice location

116 Walnut St
Festus, MO 63028-1848

Mailing address

116 Walnut St
Festus, MO 63028-1848
Phone (636) 937-7997

Other identifiers 1

IdentifierTypeStateIssuer
2159909OtherPK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20150924001253 MO Part B Supplier - Mass Immunization (Roster Biller Only) 2163730177 2 other NPIs on this enrollment
Practice locations: Festus, MO; Washington, MO
O20161010001107 MO Part B Supplier - Pharmacy 2163730177 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Festus, MO; Washington, MO
O20171228000933 MO DME Supplier - Pharmacy 2163730177 Practice locations: Festus, MO

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Pharmax Partners Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

116 Walnut St
Festus, MO 63028
Phone (636) 937-4144

116 Walnut St
#1160
Festus, MO 63028
Phone (636) 937-7997

1117 Main St
#117
Imperial, MO 63052
Phone (636) 464-1100

113 Saint Francois Plz
Park Hills, MO 63601
Phone (573) 431-5040

540 E 5th St
Washington, MO 63090
Phone (636) 239-4707

540 E 5th St
#1201
Washington, MO 63090
Phone (636) 239-4707

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516924800000",
    "number": "1497100887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 WALNUT ST",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630281848",
            "telephone_number": "636-937-7997",
            "fax_number": "636-937-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 WALNUT ST",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630281848",
            "telephone_number": "636-937-7997",
            "fax_number": "636-937-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMAX PARTNERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2018-01-26",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-954-5510"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2016018376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159909",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Festus, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; 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.