NPIMap

Organization Active NPI

Sweet Springs Pharmacy Inc

  • Long Term Care Pharmacy
  • Sweet Springs, MO
National Provider Identifier
1497300396
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
SWEET SPRINGS PHARMACY INC
Practice address
401 S Locust St
Sweet Springs, MO 65351-1308
Phone
(660) 335-6300
NPI assigned
Aug 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Authorized official

Name
Anthony Eugene Clark
Title
Director of Operations
Phone
(660) 247-1580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

401 S Locust St
Sweet Springs, MO 65351-1308

Mailing address

401 S Locust St
Sweet Springs, MO 65351-1308
Phone (660) 335-6300

Other identifiers 1

IdentifierTypeStateIssuer
606154102MedicaidMO

National Provider Directory

National Provider Directory
Tax ID family
Sweet Springs Pharmacy 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.

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1497300396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S LOCUST ST",
            "city": "SWEET SPRINGS",
            "state": "MO",
            "postal_code": "653511308",
            "telephone_number": "660-335-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S LOCUST ST",
            "city": "SWEET SPRINGS",
            "state": "MO",
            "postal_code": "653511308",
            "telephone_number": "660-335-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET SPRINGS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "660-247-1580"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "606154102",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sweet Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.