Organization Active NPI

Clark County Pharmacy Inc

Doing business as Scotland County Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Memphis, MO
National Provider Identifier
1669651907
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CLARK COUNTY PHARMACY INC
Doing business as
Scotland County Pharmacy
Practice address
111 E Monroe St
Memphis, MO 63555-1437
Phone
(660) 465-2400
Fax
(660) 465-2600
NPI assigned
Nov 2, 2007
Last updated
Nov 2, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
CLARK COUNTY PHARMACY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Mary M Turner
Title
Billing Agent
Phone
(660) 465-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

111 E Monroe St
Memphis, MO 63555-1437

Mailing address

111 E Monroe St
Memphis, MO 63555-1437
Phone (660) 465-2400

Other names 1

  • SCOTLAND COUNTY PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clark County Pharmacy Inc4 organizations share this tax ID, including this one
Part of
Clark County Pharmacy Inc

Other organizations with this tax ID 3

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

Locations

111 E Monroe St
Memphis, MO 63555
Phone (660) 465-2400

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1669651907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E MONROE ST",
            "city": "MEMPHIS",
            "state": "MO",
            "postal_code": "635551437",
            "telephone_number": "660-465-2400",
            "fax_number": "660-465-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E MONROE ST",
            "city": "MEMPHIS",
            "state": "MO",
            "postal_code": "635551437",
            "telephone_number": "660-465-2400",
            "fax_number": "660-465-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK COUNTY PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLARK COUNTY PHARMACY INC",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "660-465-2400"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCOTLAND COUNTY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.