Arcadia Ego Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2005035753 Issued in MO

Legal business name

ARCADIA EGO INC

Doing business as

Mitchell Pharmacy

Practice address

123 1St St
Kennett, MO 63857-2051

Phone

(573) 888-9094

Fax

(573) 888-5946

NPI assigned

Apr 19, 2007

Last updated

Jan 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian Mitchell, RPH

Title

Owner & Pic

Phone

(573) 888-9094

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MITCHELL PHARMACY Doing business as

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1558588657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 1ST ST",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638572051",
            "telephone_number": "573-888-9094",
            "fax_number": "573-888-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 1ST ST",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638572051",
            "telephone_number": "573-888-9094",
            "fax_number": "573-888-5946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCADIA EGO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER & PIC",
        "authorized_official_telephone_number": "573-888-9094",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2005035753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600745400",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2608149",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MITCHELL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tabitha Allen
• Autumn Lynnette Allgood, FNP-C
• Amy Lockhert (The Kennett Clinic)
• Amy R Lockhert (The Kennett Clinic)
• Arcadia Ego Inc (Mitchell Pharmacy)
• Virginia Suzanne Armstrong
• Hayden Austin
• Brittany Elisabeth Axelson
• Jennifer Leann Bader, FNP
• Alexis Leanna Baker

• Community/Retail Pharmacy in Kennett, MO
• Providers in Kennett, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.