Family Pharmacy

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FAMILY PHARMACY

Practice address

806 N Sturgeon St
Montgomery City, MO 63361-1426

Phone

(573) 564-2273

Fax

(573) 564-5249

NPI assigned

Apr 20, 2007

Last updated

Jun 21, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jack B Holtman

Title

Partner

Phone

(573) 564-2273

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Tax ID family

Family Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Family Pharmacy

  • Long Term Care Pharmacy
  • Montgomery City, MO
  • NPI 1255972196
  NPD tax ID

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1629295563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 N STURGEON ST",
            "city": "MONTGOMERY CITY",
            "state": "MO",
            "postal_code": "633611426",
            "telephone_number": "573-564-2273",
            "fax_number": "573-564-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 N STURGEON ST",
            "city": "MONTGOMERY CITY",
            "state": "MO",
            "postal_code": "633611426",
            "telephone_number": "573-564-2273",
            "fax_number": "573-564-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "HOLTMAN",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "573-564-2273",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "622645505",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerald R. Deves, D.O.
• Clare K Devine
• East Central Missouri Behavioral Health Services, Inc
• Jeannine Marie Eldringhoff, COTA/L
• Family Pharmacy
• Family Pharmacy
• Diana L Gibbs, RNC WHNP
• Cheryl Harmon, D.D.S.
• Hermann Area Hospital District (Associated Medical Arts)
• Hermann Area Hospital District (Associated Medical Arts)

• Durable Medical Equipment & Medical Supplies in Montgomery City, MO
• Providers in Montgomery City, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.