Active NPI
Medley Pharmacy Inc
Doing business as LTC Sinks Pharmacy Belle
- Long Term Care Pharmacy
- Belle, MO
National Provider Identifier
1578313110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- MEDLEY PHARMACY INC
- Doing business as
- LTC Sinks Pharmacy Belle
- Practice address
- 206 S Alvarado Ave Ste D
Belle, MO 65013-2544 - Phone
- (573) 859-3100
- Fax
- (573) 859-3008
- NPI assigned
- Mar 26, 2024
- Last updated
- Mar 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Local Health Missouri Inc
- Title
- Owner
- Phone
- (573) 885-0885
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | NU | Primary |
Addresses
Primary practice location
206 S Alvarado Ave Ste D
Belle, MO 65013-2544
Mailing address
PO Box 528
Cuba, MO 65453-0528
Phone (573) 885-0885
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 608602108 | Medicaid | MO |
Other names 1
- LTC SINKS PHARMACY BELLE
National Provider Directory
National Provider Directory- Tax ID family
- Sinks Pharmacy 100
Other organizations with this tax ID 40
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Owensville, MO
- NPI 1053431726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711411200000",
"number": "1578313110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 528",
"city": "CUBA",
"state": "MO",
"postal_code": "654530528",
"telephone_number": "573-885-0885",
"fax_number": "573-677-0567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 S ALVARADO AVE STE D",
"city": "BELLE",
"state": "MO",
"postal_code": "650132544",
"telephone_number": "573-859-3100",
"fax_number": "573-859-3008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDLEY PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-26",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A",
"authorized_official_last_name": "MISSOURI INC",
"authorized_official_first_name": "LOCAL HEALTH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "573-885-0885"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "608602108",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LTC SINKS PHARMACY BELLE",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Belle, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.