Missouri Pharmacist Care Network, LLC

Primary specialty

PharmacistTaxonomy code 183500000X

Legal business name

MISSOURI PHARMACIST CARE NETWORK, LLC

Doing business as

MoPCN

Practice address

211 E Capitol Ave
Jefferson City, MO 65101-3001

Phone

(573) 636-7522

Fax

(573) 636-7485

NPI assigned

Sep 11, 2010

Last updated

Sep 11, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

MISSOURI PHARMACY ASSOCIATIONAs reported in NPPES

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

Authorized official

Name

Ron Fitzwater, CAE

Title

Manager

Phone

(573) 636-7522

Specialties & licenses 3

Addresses

Other names 1

• MoPCN Doing business as

Locations

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

{
    "created_epoch": "1284163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284163200000",
    "number": "1528375508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E CAPITOL AVE",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651013001",
            "telephone_number": "573-636-7522",
            "fax_number": "573-636-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E CAPITOL AVE",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651013001",
            "telephone_number": "573-636-7522",
            "fax_number": "573-636-7485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI PHARMACIST CARE NETWORK, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MISSOURI PHARMACY ASSOCIATION",
        "enumeration_date": "2010-09-11",
        "last_updated": "2010-09-11",
        "status": "A",
        "authorized_official_last_name": "FITZWATER",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "573-636-7522",
        "authorized_official_credential": "CAE"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MoPCN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Missouri Department of Mental Health
• Missouri Doula Association
• Missouri Foot Care Centers, Inc
• Missouri Foot Care Centers, Inc.
• Missouri Medical Imaging, Inc. (Capital Region Medical Imaging)
• Missouri Schools for the Severely Disabled
• Missouri Spine Institute, LLC
• Missouri Vein Care, LLC
• Missouri Veterans Commission (Missouri Veterans Home - CO)
• Nicole Renee Mistler, FNP

• Pharmacist in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.