E & S Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

004301 Issued in 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

Aug 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sandra Bates, RPH

Title

Chief Pharmacist/Corporate Secretar

Phone

(573) 996-7157

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• E & S 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).

• E & S Pharmacy Inc

  • Durable Medical Equipment & Medical Supplies
  • Doniphan, MO
  • NPI 1609911643

  4385761857

  Same PAC ID

Tax ID family

E S Pharmacy Inc2 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.

• E & S Pharmacy Inc

  • Durable Medical Equipment & Medical Supplies
  • Doniphan, MO
  • NPI 1609911643
  NPD tax ID

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1619082658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 WALNUT ST",
            "city": "DONIPHAN",
            "state": "MO",
            "postal_code": "639351339",
            "telephone_number": "573-996-7157",
            "fax_number": "573-996-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 WALNUT ST",
            "city": "DONIPHAN",
            "state": "MO",
            "postal_code": "639351339",
            "telephone_number": "573-996-7157",
            "fax_number": "573-996-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E & S PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "CHIEF PHARMACIST/CORPORATE SECRETAR",
        "authorized_official_telephone_number": "573-996-7157",
        "authorized_official_credential": "RPH"
    },
    "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": "004301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "622040004",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2050494",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "602020008",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "E & S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Doniphan, MO
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.

Verify at the official NPI Registry.