NPIMap

Organization Active NPI

Bruner Drugs, Inc.

Doing business as Bruner Drugs

  • Community/Retail Pharmacy
  • Carl Junction, MO
National Provider Identifier
1629025127
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
005892 Issued in MO
Legal business name
BRUNER DRUGS, INC.
Doing business as
Bruner Drugs
Practice address
102 S Main St
Carl Junction, MO 64834
Phone
(417) 649-7021
Fax
(417) 649-6269
NPI assigned
May 28, 2006
Last updated
Jul 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Authorized official

Name
Jerry BottsNPI 1023065521
Title
President
Phone
(417) 649-7021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 005892 MO Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

102 S Main St
Carl Junction, MO 64834

Mailing address

PO Box 9
Carl Junction, MO 64834-0009

Other identifiers 2

IdentifierTypeStateIssuer
2049616OtherPK
600282917MedicaidMO

Other names 1

  • Bruner Drugs Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

102 S Main St
Carl Junction, MO 64834
Phone (417) 349-7021

Practitioners & affiliated clinicians

Practitioners 1

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": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532390400000",
    "number": "1629025127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "CARL JUNCTION",
            "state": "MO",
            "postal_code": "648340009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S MAIN ST",
            "city": "CARL JUNCTION",
            "state": "MO",
            "postal_code": "64834",
            "telephone_number": "417-649-7021",
            "fax_number": "417-649-6269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNER DRUGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2018-07-24",
        "status": "A",
        "authorized_official_last_name": "BOTTS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-649-7021"
    },
    "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": "005892",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2049616",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600282917",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bruner Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carl Junction, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.