Active NPI
Pharmax Partners Inc
- Community/Retail Pharmacy
- Festus, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2016018376
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2159909 | Other | PK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
dba Schroeder Drugs #1201
- Community/Retail Pharmacy
- Washington, MO
- NPI 1538173976
2163730177
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Pharmax Pharmacy #1117
- Community/Retail Pharmacy
- Imperial, MO
- NPI 1720497506
O20150924001253, O20161010001107
-
dba Schroeder Drugs #1201
- Community/Retail Pharmacy
- Washington, MO
- NPI 1538173976
O20150924001253, O20161010001107
National Provider Directory
National Provider Directory- Tax ID family
- Pharmax Partners Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Schroeder's Long-Term Care
- Long Term Care Pharmacy
- Washington, MO
- NPI 1134866338
-
dba Schroeder Drugs #1201
- Community/Retail Pharmacy
- Washington, MO
- NPI 1538173976
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.