Organization Active NPI

B Y Enterprises Inc

Doing business as Sterling Health Care Services

  • Long Term Care Pharmacy
  • Sikeston, MO
National Provider Identifier
1619981693
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
OS01347 Issued in AR
Legal business name
B Y ENTERPRISES INC
Doing business as
Sterling Health Care Services
Practice address
808 Hunter Ave
Ste 1
Sikeston, MO 63801-2248
Phone
(573) 472-0608
Fax
(573) 472-1814
NPI assigned
Jul 28, 2006
Last updated
Jun 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Authorized official

Name
Ross Merideth, PHARM.D.NPI 1801201058
Title
Pharmacist in Charge
Phone
(573) 472-0608

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Y005892 AZ
Long Term Care Pharmacy 3336L0003X 5741 MO
Long Term Care Pharmacy 3336L0003X OS01347 AR Primary

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 3

IdentifierTypeStateIssuer
135542407MedicaidAR
2047189OtherPK
607804804MedicaidMO

Other names 1

  • STERLING HEALTH CARE SERVICES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
B Y Enterprises Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

808 Hunter Ave
Ste 1
Sikeston, MO 63801
Phone (573) 472-0608

Practitioners & affiliated clinicians

Practitioners 3

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": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1619981693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 886",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638010886",
            "telephone_number": "573-472-0608",
            "fax_number": "573-472-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 HUNTER AVE",
            "address_2": "STE 1",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638012248",
            "telephone_number": "573-472-0608",
            "fax_number": "573-472-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B Y ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "MERIDETH",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "573-472-0608",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AZ",
            "license": "Y005892",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MO",
            "license": "5741",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "AR",
            "license": "OS01347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135542407",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2047189",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "607804804",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STERLING HEALTH CARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sikeston, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; 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.