NPIMap

Organization Active NPI

Big Tree Medical Inc.

Doing business as Big Tree Pharmacy

  • Pharmacy
  • Columbia, MO
National Provider Identifier
1619577905
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
BIG TREE MEDICAL INC.
Doing business as
Big Tree Pharmacy
Practice address
206 Corporate Lake Dr
Columbia, MO 65203-7172
Phone
(573) 814-1170
NPI assigned
Oct 27, 2020
Last updated
Nov 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Authorized official

Name
Dr. Adam Wheeler, MDNPI 1891803086
Title
Owner
Phone
(573) 673-5770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

206 Corporate Lake Dr
Columbia, MO 65203-7172

Mailing address

206 Corporate Lake Dr
Columbia, MO 65203-7172
Phone (738) 141-1705

Other names 1

  • Big Tree Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

200 Corporate Lake Dr
Columbia, MO 65203
Phone (417) 234-2860

206 Corporate Lake Dr
Columbia, MO 65203
Phone (573) 814-1170

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26146/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1619577905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 CORPORATE LAKE DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652037172",
            "telephone_number": "738-141-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 CORPORATE LAKE DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652037172",
            "telephone_number": "573-814-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG TREE MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-673-5770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big Tree Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Big Tree Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.