Active NPI
Family Pharmacy of Missouri LLC
- Pharmacy
- Rogersville, MO
National Provider Identifier
1679548523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 5819
- Legal business name
- FAMILY PHARMACY OF MISSOURI LLC
- Practice address
- 432 S Mill St
Rogersville, MO 65742-7601 - Phone
- (417) 753-2046
- Fax
- (417) 753-2047
- NPI assigned
- Feb 22, 2006
- 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
- Lynn A Morris, R.PH.
- Title
- Owner/President
- Phone
- (417) 581-4335
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | 5819 | MO | Primary |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
432 S Mill St
Rogersville, MO 65742-7601
Mailing address
PO Box 515
Rogersville, MO 65742-0515
Phone (417) 753-2046
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2629713 | Other | NCPDP | |
| 620058057 | Other | MO | MEDICAID DME |
| 600058051 | Medicaid | MO |
Other names 1
- Family Pharmacy #5
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1491436800000",
"number": "1679548523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 515",
"city": "ROGERSVILLE",
"state": "MO",
"postal_code": "657420515",
"telephone_number": "417-753-2046",
"fax_number": "417-753-2047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "432 S MILL ST",
"city": "ROGERSVILLE",
"state": "MO",
"postal_code": "657427601",
"telephone_number": "417-753-2046",
"fax_number": "417-753-2047"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY PHARMACY OF MISSOURI LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-22",
"last_updated": "2017-04-06",
"status": "A",
"authorized_official_last_name": "MORRIS",
"authorized_official_first_name": "LYNN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "417-581-4335",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "MO",
"license": "5819",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "2629713",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID DME",
"identifier": "620058057",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "600058051",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Pharmacy #5",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Rogersville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.