Organization Active NPI

Summers Pharmacy No 9, LLC Dba Summers Pharmacy of Cole Camp

  • Community/Retail Pharmacy
  • Cole Camp, MO
National Provider Identifier
1619982246
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
006476 Issued in MO
Legal business name
SUMMERS PHARMACY NO 9, LLC DBA SUMMERS PHARMACY OF COLE CAMP
Practice address
512 W Main St
Cole Camp, MO 65325-1018
Phone
(660) 668-4646
Fax
(660) 668-4633
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Authorized official

Name
Ryan Summers
Title
Owner
Phone
(660) 383-1910

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 006476 MO Primary

Addresses

Primary practice location

512 W Main St
Cole Camp, MO 65325-1018

Mailing address

605 Pawnee St
Clinton, MO 64735-2757
Phone (660) 383-1910

Other identifiers 2

IdentifierTypeStateIssuer
2632075OtherNCPDP PROVIDER IDENTIFICATION NUMBER
603807603MedicaidMO

Other names 2

  • COLE CAMP PHARMACY Doing business as
  • Cole Camp Pharmacy Inc. Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783036800000",
    "number": "1619982246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 PAWNEE ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352757",
            "telephone_number": "660-383-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 W MAIN ST",
            "city": "COLE CAMP",
            "state": "MO",
            "postal_code": "653251018",
            "telephone_number": "660-668-4646",
            "fax_number": "660-668-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERS PHARMACY NO 9, LLC DBA SUMMERS PHARMACY OF COLE CAMP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-383-1910"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "006476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2632075",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "603807603",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLE CAMP PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cole Camp Pharmacy Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cole Camp, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; 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.