Active NPI
Myers Pharmacy,Inc
- Pharmacy
- Alton, MO
National Provider Identifier
1598065146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 2003009840
- Legal business name
- MYERS PHARMACY,INC
- Practice address
- 603 W. Hwy 160
Alton, MO 65606-0307 - Phone
- (417) 778-7727
- Fax
- (417) 778-6820
- NPI assigned
- Oct 29, 2010
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dan L Myers, RPH
- Title
- Owner/Pharmacist
- Phone
- (417) 778-7227
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Alton, MO
- NPI 1679632285
National Provider Directory
National Provider Directory- Tax ID family
- Myers Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Alton, MO
- NPI 1154449825
Locations
603 W Hwy 160
Alton, MO 65606
Phone (417) 778-7727
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 2003009840 | MO | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
603 W. Hwy 160
Alton, MO 65606-0307
Mailing address
603 W Hwy 160
P.O. Box 307
Alton, MO 65606-0307
Phone (417) 778-7727
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 851769505 | Medicaid | MO |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 29, 2010.
{
"created_epoch": "1288310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288310400000",
"number": "1598065146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 W HWY 160",
"address_2": "P.O. BOX 307",
"city": "ALTON",
"state": "MO",
"postal_code": "656060307",
"telephone_number": "417-778-7727",
"fax_number": "417-778-6820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 W. HWY 160",
"city": "ALTON",
"state": "MO",
"postal_code": "656060307",
"telephone_number": "417-778-7727",
"fax_number": "417-778-6820"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYERS PHARMACY,INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-29",
"last_updated": "2010-10-29",
"status": "A",
"authorized_official_last_name": "MYERS",
"authorized_official_first_name": "DAN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER/PHARMACIST",
"authorized_official_telephone_number": "417-778-7227",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "MO",
"license": "2003009840",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "851769505",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.