Ozark LTC RX

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

2014015500 Issued in MO

Legal business name

OZARK LTC RX

Doing business as

Ozark LTC RX

Practice address

9 Bonneville PLZ
Bonne Terre, MO 63628-1307

Phone

(573) 755-0800

Fax

(888) 305-1276

NPI assigned

May 28, 2014

Last updated

May 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott R MillerNPI 1013656719

Title

Pharmacist

Phone

(803) 319-1450

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ozark LTC RX Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott R Miller, RPH

  • Pharmacist
  • Lexington, SC
  • NPI 1013656719
  NPD Authorized official

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1699187468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BONNEVILLE PLZ",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "636281307",
            "telephone_number": "573-755-0800",
            "fax_number": "888-305-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BONNEVILLE PLZ",
            "city": "BONNE TERRE",
            "state": "MO",
            "postal_code": "636281307",
            "telephone_number": "573-755-0800",
            "fax_number": "888-305-1276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3550 N Glenstone Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658034756",
            "country_code": "US",
            "telephone_number": "217-721-1787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OZARK LTC RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "803-319-1450"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MO",
            "license": "2014015500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145749",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ozark LTC RX",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ozark LTC RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Bonne Terre, MO
• Providers in Bonne Terre, MO by specialty
• Long Term Care Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.