NPIMap

Organization Active NPI

Monett Professional Pharmacy

  • Community/Retail Pharmacy
  • Monett, MO
National Provider Identifier
1548321805
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
005599 Issued in MO
Legal business name
MONETT PROFESSIONAL PHARMACY
Practice address
801 N Lincoln Ave
Monett, MO 65708-1641
Phone
(417) 354-1250
Fax
(417) 354-1255
NPI assigned
Dec 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ryan B Miller, PHARM. D.
Title
Director of Pharmacy
Phone
(417) 354-1250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 005599 MO Primary

Addresses

Primary practice location

801 N Lincoln Ave
Monett, MO 65708-1641

Mailing address

801 N Lincoln Ave
Monett, MO 65708-1641
Phone (417) 354-1250

National Provider Directory

National Provider Directory
Tax ID family
Cox Monett Hospital13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548321805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N LINCOLN AVE",
            "city": "MONETT",
            "state": "MO",
            "postal_code": "657081641",
            "telephone_number": "417-354-1250",
            "fax_number": "417-354-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N LINCOLN AVE",
            "city": "MONETT",
            "state": "MO",
            "postal_code": "657081641",
            "telephone_number": "417-354-1250",
            "fax_number": "417-354-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONETT PROFESSIONAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "417-354-1250",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "005599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monett, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.