Organization Active NPI

Myers Pharmacy,Inc

  • Pharmacy
  • Alton, MO
National Provider Identifier
1598065146
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
2003009840 Issued in MO
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, RPHNPI 1679632285
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.

National Provider Directory

National Provider Directory
Tax ID family
Myers Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

603 W Hwy 160
Alton, MO 65606
Phone (417) 778-7727

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 2003009840 MO Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
851769505MedicaidMO

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.

Verify at the official NPI Registry.