B Y Enterprises Inc
Organization Active NPI Long Term Care Pharmacy · Sikeston, MO
NPI 1619981693 · NPPES record last updated Jun 21, 2016
Key facts
- NPI
- 1619981693
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- License
- OS01347 (AR)
- Legal business name
- B Y ENTERPRISES INC
- Practice address
- 808 Hunter Ave
Ste 1
Sikeston, MO 63801-2248 - Phone
- (573) 472-0608
- Fax
- (573) 472-1814
- NPI assigned
- Jul 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Ross Merideth, PHARM.D.
- Title
- Pharmacist in Charge
- Phone
- (573) 472-0608
Other NPIs on the same Medicare enrollment 3
Corporate family (same tax ID) 3
Practitioners 2
-
Lindsey Ballard Corlew, PHARM D
-
Matthew Scott Hon, PHARM. D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210224002065 | MO | Part B Supplier - Pharmacy | 0244592160 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lees Summit, MO; Sikeston, MO |
National Provider Directory
- Tax ID family
- B Y Enterprises Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Y005892 | AZ | |
| Long Term Care Pharmacy | 3336L0003X | 5741 | MO | |
| Long Term Care Pharmacy | 3336L0003X | OS01347 | AR | Yes |
Addresses
Primary practice location
808 Hunter Ave
Ste 1
Sikeston, MO 63801-2248
Mailing address
PO Box 886
Sikeston, MO 63801-0886
Phone (573) 472-0608
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2047189 | Other | PK | |
| 135542407 | Medicaid | AR | |
| 607804804 | Medicaid | MO |
Other names
- STERLING HEALTH CARE SERVICES
Other providers in Sikeston, MO
- Jane Kiunisala Apurado
- Allyson Elizabeth Asmus
- Brielle Caldwell Asuncion
- Imee Atabay-Secillano
- B Y Enterprises Inc
- Kayla Babb
- Lauren Michele Babb
- Justin H Bain
- Qasim Mustafa Bajwa
- Jennifer Elizabeth Baker
All providers in Sikeston, MO · Long Term Care Pharmacy in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2016. 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.