E & S Pharmacy Inc
Organization Active NPI Durable Medical Equipment & Medical Supplies · Doniphan, MO
NPI 1609911643 · NPPES record last updated Aug 1, 2012
Key facts
- NPI
- 1609911643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 004301 (MO)
- Legal business name
- E & S PHARMACY INC
- Practice address
- 1105 Walnut St
Doniphan, MO 63935-1339 - Phone
- (573) 996-7157
- Fax
- (573) 996-7526
- NPI assigned
- Feb 20, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Sandra J Bates, R.PH.
- Title
- Pharmacist
- Phone
- (573) 996-7157
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930012624 | MO | DME Supplier - Pharmacy |
4385761857 | Practice locations: Doniphan, MO |
National Provider Directory
- Tax ID family
- E S Pharmacy Inc
Locations
1105 Walnut St
Doniphan, MO 63935
Phone (573) 996-7157
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 004301 | MO | Yes |
Addresses
Primary practice location
1105 Walnut St
Doniphan, MO 63935-1339
Mailing address
1105 Walnut St
Doniphan, MO 63935-1339
Phone (573) 996-7157
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 622040004 | Medicaid | MO |
Other providers in Doniphan, MO
- Current River Nursing Center, Inc.
- Current River Rehabilitation & Health Care Center LLC
- Chastity Maemarie Doggett
- Doniphan Reorganized School
- Doniphan Vision Improvement Clinic, LLC
- E & S Pharmacy Inc
- Jessica L Eddington
- Emergency Staffing Solutions, Inc.
- Justin Edward Emfinger
- Dalton Luke Fongemie
All providers in Doniphan, MO · Durable Medical Equipment & Medical Supplies in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.