Organization Active NPI

Northwest Health Services Inc

Doing business as North End Family Pharmacy

  • Community/Retail Pharmacy
  • Saint Joseph, MO
National Provider Identifier
1699247080
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NORTHWEST HEALTH SERVICES INC
Doing business as
North End Family Pharmacy
Practice address
1000 5TH Ave
Saint Joseph, MO 64505-2111
Phone
(816) 385-5996
Fax
(816) 463-8363
NPI assigned
Dec 22, 2018
Last updated
Mar 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Authorized official

Name
Matt Younger
Title
Ceo
Phone
(816) 232-6818

Specialties & licenses 1

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

Addresses

Primary practice location

1000 5TH Ave
Saint Joseph, MO 64505-2111

Mailing address

1000 5TH Ave
Saint Joseph, MO 64505-2111
Phone (816) 385-5996

Other identifiers 2

IdentifierTypeStateIssuer
00069589MedicaidMO
2645678OtherNCPDP

Other names 1

  • North End Family Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190116002517 MO Part B Supplier - Mass Immunization (Roster Biller Only) 7113835174 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chillicothe, MO; Gower, MO; Hamilton, MO; Saint Joseph, MO

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1517 Saint Joseph Ave
Saint Joseph, MO 64505
Phone (816) 238-2424

NPI Registry JSON

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

{
    "created_epoch": "1545436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1699247080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 5TH AVE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645052111",
            "telephone_number": "816-385-5996",
            "fax_number": "816-555-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 5TH AVE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645052111",
            "telephone_number": "816-385-5996",
            "fax_number": "816-463-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-22",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "YOUNGER",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "816-232-6818"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00069589",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2645678",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North End Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North End Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.