Organization Active NPI

Food Merchants, LLC

  • Long Term Care Pharmacy
  • Nixa, MO
National Provider Identifier
1639690365
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
2017018438 Issued in MO
Legal business name
FOOD MERCHANTS, LLC
Practice address
105 S Ridgecrest Ave Ste 2
Nixa, MO 65714-6206
Phone
(417) 893-3902
Fax
(855) 547-5705
NPI assigned
Jul 3, 2017
Last updated
Jun 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Donald G Savley
Title
Owner
Phone
(417) 818-3125

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X 2017018438 MO Primary

Addresses

Primary practice location

105 S Ridgecrest Ave Ste 2
Nixa, MO 65714-6206

Mailing address

PO Box 397
Nixa, MO 65714-0397
Phone (417) 818-3125

Other identifiers 2

IdentifierTypeStateIssuer
2171118OtherPK
600047083MedicaidMO

Other names 1

  • Alps Long Term Care Pharmacy Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101011000617 MO Part B Supplier - Mass Immunization (Roster Biller Only) 1456569029 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Springfield, MO; Nixa, MO

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Locations

105 S Ridgecrest Ave
Ste 2
Nixa, MO 65714
Phone (417) 893-3902

1824 N Highway CC
Ste A
Nixa, MO 65714
Phone (417) 893-3902

1824 N Highway CC
Ste Ltc
Nixa, MO 65714

2828 N National Ave
Ste Ltc
Springfield, MO 65803
Phone (417) 893-3902

Practitioners & affiliated clinicians

Practitioners 2

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": "1499040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1639690365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 397",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657140397",
            "telephone_number": "417-818-3125",
            "fax_number": "417-374-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S RIDGECREST AVE STE 2",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657146206",
            "telephone_number": "417-893-3902",
            "fax_number": "855-547-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOD MERCHANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-03",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "SAVLEY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-818-3125"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MO",
            "license": "2017018438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2171118",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600047083",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alps Long Term Care Pharmacy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Alps Long Term Care Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nixa, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.