New Madrid Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2014030752 Issued in MO

Legal business name

NEW MADRID PHARMACY INC

Practice address

457 Main St
New Madrid, MO 63869-1739

Phone

(573) 748-3080

Fax

(573) 748-2000

NPI assigned

Jun 13, 2014

Organization subpart

No

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

Authorized official

Name

James Small, PHARMD

Title

President/Owner

Phone

(573) 748-3080

Specialties & licenses 4

Addresses

Other names 1

• New Madrid Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

Locations

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492128000000",
    "number": "1508270802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35",
            "city": "NEW MADRID",
            "state": "MO",
            "postal_code": "638690035",
            "telephone_number": "573-748-3080",
            "fax_number": "573-748-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 MAIN ST",
            "city": "NEW MADRID",
            "state": "MO",
            "postal_code": "638691739",
            "telephone_number": "573-748-3080",
            "fax_number": "573-748-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MADRID PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2017-04-14",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "573-748-3080",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2014030752",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Madrid Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• N & R of New Madrid LLC
• Kristen Nelson, DENTAL HYGENTIST
• New Madrid County Ambulance District
• New Madrid County Health Dept
• New Madrid County R-1 School District
• Pemiscot County Memorial Hospital
• Personal Touch
• Timothy P Rausch, DMD
• Blair Ray, DENTAL HYGENIST
• Elizabeth A Riley

• All providers in New Madrid, MO
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.