NPIMap

Organization Active NPI

Pharmax BT Inc

  • Long Term Care Pharmacy
  • Bonne Terre, MO
National Provider Identifier
1649019159
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
PHARMAX BT INC
Practice address
60 Nesbit Dr Ste a
Bonne Terre, MO 63628-1347
Phone
(573) 358-3301
NPI assigned
May 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Authorized official

Name
Larry T McIntosh
Title
President
Phone
(314) 954-5510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

60 Nesbit Dr Ste a
Bonne Terre, MO 63628-1347

Mailing address

60 Nesbit Dr Ste a
Bonne Terre, MO 63628-1347
Phone (573) 358-3301

Other names 1

  • Pharmax LTC 1365 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dba Pharmax Pharmacy 13652 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.

NPI Registry JSON

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1649019159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 NESBIT DR STE A",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "636281347",
            "telephone_number": "573-358-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 NESBIT DR STE A",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "636281347",
            "telephone_number": "573-358-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMAX BT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-954-5510"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pharmax LTC 1365",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bonne Terre, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.