Active NPI
Red Cross Pharmacy, Inc
- Long Term Care Pharmacy
- Belton, MO
National Provider Identifier
1619015609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- RED CROSS PHARMACY, INC
- Practice address
- 401 Main St
Belton, MO 64012-2511 - Phone
- (816) 892-1200
- Fax
- (816) 331-2400
- NPI assigned
- Feb 2, 2007
- 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
- Mr. Scott B Hartwig
- Title
- Co-President/Ceo
- Phone
- (660) 886-5535
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 000792 | MO | |
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
401 Main St
Belton, MO 64012-2511
Mailing address
PO Box 917
Marshall, MO 65340-0917
Phone (660) 886-5535
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2603125 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 2603125 | Other | OTHER ID NUMBER | |
| 600057707 | Medicaid | MO | |
| 620057711 | Medicaid | MO |
Other names 1
- Red Cross LTC Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040929000382 | MO | Part B Supplier - Mass Immunization (Roster Biller Only) | 2466421102 |
20 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Excelsior Springs, MO; Marshall, MO |
| O20110725000187 | MO | DME Supplier - Pharmacy | 2466421102 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Excelsior Springs, MO |
Other NPIs on the same Medicare enrollment 19
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Oxygen Equipment & Supplies (DME)
- Marshall, MO
- NPI 1467525493
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1345680000000",
"number": "1619015609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 917",
"city": "MARSHALL",
"state": "MO",
"postal_code": "653400917",
"telephone_number": "660-886-5535",
"fax_number": "660-886-6320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 MAIN ST",
"city": "BELTON",
"state": "MO",
"postal_code": "640122511",
"telephone_number": "816-892-1200",
"fax_number": "816-331-2400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RED CROSS PHARMACY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-02",
"last_updated": "2012-08-23",
"status": "A",
"authorized_official_last_name": "HARTWIG",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "CO-PRESIDENT/CEO",
"authorized_official_telephone_number": "660-886-5535",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MO",
"license": "000792",
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "2603125",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "2603125",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "600057707",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "620057711",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Red Cross LTC Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Belton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.