Food Merchants, LLC
Organization Active NPI Community/Retail Pharmacy · Anderson, MO
NPI 1558086561 · NPPES record last updated Sep 6, 2023
Key facts
- NPI
- 1558086561
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- FOOD MERCHANTS, LLC
- Practice address
- 704 S Highway 59 Ste C
Anderson, MO 64831-8486 - Phone
- (417) 845-7799
- NPI assigned
- Oct 12, 2022
- Organization subpart
- No
Authorized official
- Name
- Erica Lynn Mahn
- Title
- Executive Director
- Phone
- (417) 773-1796
Other NPIs on the same Medicare enrollment 3
Corporate family (same tax ID) 4
Practitioners 2
-
Brenna Jean Neumann, PHARM.D.
-
Samantha Hamilton, PHARMD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170210000521 | MO | Part B Supplier - Pharmacy | 1456569029 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Springfield, MO; Nixa, MO; Anderson, MO |
National Provider Directory
- Tax ID family
- Food Merchants LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
704 S Highway 59 Ste C
Anderson, MO 64831-8486
Mailing address
PO Box 397
Nixa, MO 65714-0397
Other names
- Alps Pharmacy Anderson
- Alps Pharmacy-Anderson
Other providers in Anderson, MO
- Julia Marie Eden
- Elk River Health Services, Inc.
- Elk River Health Services, Inc.
- Kelly Elwood
- Riley Fletcher
- Freeman Neosho Hospital
- Freeman-Oak Hill Health System
- Kimberly Ann George
- Goldstein Dental Office, LLC
- Scott C. Goldstein
All providers in Anderson, MO · Community/Retail Pharmacy in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.