Orchard Hills Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

006448 Issued in MO

Legal business name

ORCHARD HILLS PHARMACY INC

Doing business as

Orchard Hills Pharmacy

Practice address

3816A W Chestnut Expy
Springfield, MO 65802-5500

Phone

(417) 868-8288

Fax

(417) 868-8248

NPI assigned

Jul 19, 2006

Last updated

Jul 19, 2018By 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

Jeffrey Goetzinger, RPH

Title

Owner and Pharmacist

Phone

(417) 868-8288

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• ORCHARD HILLS PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

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.

• Jeffey John Goetzinger, R. PH.

  • Pharmacist
  • Springfield, MO
  • NPI 1144823550
  NPD

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1639198716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816A W CHESTNUT EXPRESSWAY",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65802",
            "telephone_number": "417-868-8288",
            "fax_number": "417-868-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816A W CHESTNUT EXPY",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658025500",
            "telephone_number": "417-868-8288",
            "fax_number": "417-868-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHARD HILLS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "GOETZINGER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER AND PHARMACIST",
        "authorized_official_telephone_number": "417-868-8288",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "006448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "603826900",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2048037",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ORCHARD HILLS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Oney
• John P Opalka III, LPC
• Angela Agyeiwaa Opuni, MSN, FPMHNP
• Oral Anesthesia Group Inc
• Orchard Hills Compounding, Inc. (Orchard Hills Compounding)
• Orchard Hills Pharmacy Inc (Orchard Hills Pharmacy)
• Sheri R Orchard Sloan, LPC
• Orion Healthcare Missouri, LLC
• James Orlando, D.O
• Alexandra Charlene Orr, ATC

• Community/Retail Pharmacy in Springfield, MO
• Providers in Springfield, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.