Active NPI
TKM Pharmacy, LLC
Doing business as Mize Drug Wellness & Compounding
- Community/Retail Pharmacy
- Garden City, MO
National Provider Identifier
1679314272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Taylor Mize, PHARMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- TKM Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241204003540 | MO | Part B Supplier - Pharmacy | 4486180171 | Practice locations: Garden City, MO |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Grandview, MO
- NPI 1558032052
-
- Pharmacist
- Overland Park, KS
- NPI 1891571972
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.