Active NPI
Medley Vital Care Infusion, Inc.
Doing business as Medley Vital Care Infusion
- Durable Medical Equipment & Medical Supplies
- Owensville, MO
National Provider Identifier
1578671509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 005817
- Legal business name
- MEDLEY VITAL CARE INFUSION, INC.
- Doing business as
- Medley Vital Care Infusion
- Practice address
- 601 East Hwy 28
Owensville, MO 65066 - Phone
- (573) 437-3440
- Fax
- (573) 437-4963
- NPI assigned
- Aug 29, 2006
- Last updated
- Mar 5, 2010
- 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
- Sandra Mitchell
- Title
- Manager
- Phone
- (573) 437-3440
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 005817 | MO | Primary |
| Customized Equipment (DME) | 332BC3200X | 005817 | MO | |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 005817 | MO | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 005817 | MO | |
| Pharmacy | 333600000X | 005817 | MO | |
| Community/Retail Pharmacy | 3336C0003X | 005817 | MO | |
| Home Infusion Therapy Pharmacy | 3336H0001X | 005817 | MO | |
| Long Term Care Pharmacy | 3336L0003X | 005817 | MO | |
| Mail Order Pharmacy | 3336M0002X | 005817 | MO | |
| Specialty Pharmacy | 3336S0011X | 005817 | MO |
Addresses
Primary practice location
601 East Hwy 28
Owensville, MO 65066
Mailing address
PO Box 5047
Meridian, MS 39302-5047
Phone (800) 447-4095
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29836 | Other | BCBS |
Other names 1
- MEDLEY VITAL CARE INFUSION
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Owensville, MO
- NPI 1962414664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1267747200000",
"number": "1578671509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5047",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393025047",
"telephone_number": "800-447-4095",
"fax_number": "601-482-7490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 EAST HWY 28",
"city": "OWENSVILLE",
"state": "MO",
"postal_code": "65066",
"telephone_number": "573-437-3440",
"fax_number": "573-437-4963"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDLEY VITAL CARE INFUSION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-29",
"last_updated": "2010-03-05",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "573-437-3440"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MO",
"license": "005817",
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "MO",
"license": "005817",
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "MO",
"license": "005817",
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "MO",
"license": "005817",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "MO",
"license": "005817",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MO",
"license": "005817",
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "MO",
"license": "005817",
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "MO",
"license": "005817",
"primary": false
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": "MO",
"license": "005817",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "MO",
"license": "005817",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "29836",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MEDLEY VITAL CARE INFUSION",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Owensville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.