Organization Active NPI

TKM Pharmacy, LLC

Doing business as Mize Drug Wellness & Compounding

  • Community/Retail Pharmacy
  • Garden City, MO
National Provider Identifier
1679314272
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
TKM PHARMACY, LLC
Doing business as
Mize Drug Wellness & Compounding
TKM Pharmacy
Practice address
202 Old Highway 7 Rd
Garden City, MO 64747-8182
Phone
(816) 755-3070
NPI assigned
Jun 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Taylor Mize, PHARMDNPI 1558032052
Title
Manager
Phone
(573) 217-9404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

202 Old Highway 7 Rd
Garden City, MO 64747-8182

Mailing address

202 Old Highway 7 Rd
Garden City, MO 64747-8182
Phone (816) 755-3070

Other names 2

  • Mize Drug Wellness & Compounding Doing business as
  • TKM Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241204003540 MO Part B Supplier - Pharmacy 4486180171 Practice locations: Garden City, MO

National Provider Directory

National Provider Directory

Locations

202 Old Highway 7 Rd
Garden City, MO 64747
Phone (816) 755-3070

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1679314272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 OLD HIGHWAY 7 RD",
            "city": "GARDEN CITY",
            "state": "MO",
            "postal_code": "647478182",
            "telephone_number": "816-755-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 OLD HIGHWAY 7 RD",
            "city": "GARDEN CITY",
            "state": "MO",
            "postal_code": "647478182",
            "telephone_number": "816-755-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TKM PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "MIZE",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "573-217-9404",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mize Drug Wellness & Compounding",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TKM Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.