Dr Mamae, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2003000543 Issued in MO

Legal business name

DR MAMAE, INC.

Doing business as

One to One Pharmacy

Practice address

121 S 16TH St
Unionville, MO 63565-1624

Phone

(660) 947-2480

Fax

(660) 947-7912

NPI assigned

Jan 11, 2007

Last updated

Jun 16, 2016By 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

Rebecca McDanel, BSNPI 1073473849

Title

President

Phone

(660) 947-2484

Specialties & licenses 3

Addresses

Other identifiers 4

Other names 1

• One to One Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Dr Mamae Inc

  dba One to One Pharmacy

  • Community/Retail Pharmacy
  • Kalona, IA
  • NPI 1538262696

  8921213372

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

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.

• Rebecca McDanel, RPH

  • Pharmacist
  • Kalona, IA
  • NPI 1073473849
  NPD Authorized official
• Jessica Gillum, PHARMD

  • Pharmacist
  • Unionville, MO
  • NPI 1447111224
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1588714802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S 16TH ST",
            "city": "UNIONVILLE",
            "state": "MO",
            "postal_code": "635651624",
            "telephone_number": "660-947-2480",
            "fax_number": "660-947-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S 16TH ST",
            "city": "UNIONVILLE",
            "state": "MO",
            "postal_code": "635651624",
            "telephone_number": "660-947-2480",
            "fax_number": "660-947-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MAMAE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "MCDANEL",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "660-947-2484",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2003000543",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0561860",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2051475",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621347905",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601347917",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One to One Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Allen, FNP
• Nathan Lynn Baughman, NP
• Bristol Care, Inc.
• William S Casady, D.O.
• Caylie Crawford, CPM
• Brandon Eschenbach, DPT
• Dawn A Fairley, DO
• Jessica Gillum, PHARMD
• Hayden Briggs Halley
• Alten Ray Hammett III, D.C.

• Community/Retail Pharmacy in Unionville, MO
• Providers in Unionville, 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 Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.