Roziers Country Mart

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2009007771 Issued in MO

Legal business name

ROZIERS COUNTRY MART

Doing business as

Country Mart

Practice address

190 Plaza Dr
Ste Genevieve, MO 63670-1828

Phone

(573) 883-3524

Fax

(573) 883-7991

NPI assigned

Apr 29, 2009

Last updated

Aug 13, 2024By 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

Erika T Hahn, PHARMDNPI 1861843393

Title

Pharmacist in Charge

Phone

(573) 883-3524

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Country Mart Doing business as

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

Tax ID family

Country Mart2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Roziers Country Mart

  dba Country Mart

  • Long Term Care Pharmacy
  • Ste Genevieve, MO
  • NPI 1922853068
  NPD tax ID

Locations

Practitioners 2

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.

• Erika Hahn

  • Pharmacotherapy Pharmacist
  • Bonne Terre, MO
  • NPI 1861843393
  NPD Authorized official
• Cindy Litterst, CHW

  • Community Health Worker
  • Ste Genevieve, MO
  • NPI 1396516423
  NPD

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1700020112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 PLAZA DR",
            "city": "STE GENEVIEVE",
            "state": "MO",
            "postal_code": "636701828",
            "telephone_number": "573-883-3524",
            "fax_number": "573-883-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 PLAZA DR",
            "city": "STE GENEVIEVE",
            "state": "MO",
            "postal_code": "636701828",
            "telephone_number": "573-883-3524",
            "fax_number": "573-883-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROZIERS COUNTRY MART",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "573-883-3524",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2009007771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601586605",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2120051",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Mart",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Country Mart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Riverview at the Park, Inc (Riverview at the Park Care and Rehabilitaion Cent)
• Sarah Robinson, PHARMD
• Justin Nicholas Roth, DC
• Maria S Rottler, PT
• Mary Clare Rozier, OTR-L
• Roziers Country Mart (Country Mart)
• Sonja Schario, LPC
• Seilo Inc. Dba Chateau Care
• Joseph Sharlow, MD
• St Elizabeth Adult Day of Ste Genevieve

• Community/Retail Pharmacy in Ste Genevieve, MO
• Providers in Ste Genevieve, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.