NPIMap

Organization Active NPI

Sinks Pharmacy South

  • Durable Medical Equipment & Medical Supplies
  • Rolla, MO
National Provider Identifier
1700906591
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
2005000322 Issued in MO
Legal business name
SINKS PHARMACY SOUTH
Practice address
1100B S Bishop Ave
Rolla, MO 65401-4418
Phone
(573) 308-4899
Fax
(573) 308-4893
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Authorized official

Name
Local Health Missouri
Title
Owner
Phone
(573) 885-0885

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 2005000322 MO Primary
Pharmacy 333600000X

Addresses

Primary practice location

1100B S Bishop Ave
Rolla, MO 65401-4418

Mailing address

PO Box 528
Cuba, MO 65453-0528
Phone (573) 308-4899

Other identifiers 1

IdentifierTypeStateIssuer
6004007401MedicaidMO

National Provider Directory

National Provider Directory
Tax ID family
Medley Pharmacy Inc41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1700906591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 528",
            "city": "CUBA",
            "state": "MO",
            "postal_code": "654530528",
            "telephone_number": "573-308-4899",
            "fax_number": "573-308-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100B S BISHOP AVE",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654014418",
            "telephone_number": "573-308-4899",
            "fax_number": "573-308-4893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINKS PHARMACY SOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "MISSOURI",
        "authorized_official_first_name": "LOCAL HEALTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-885-0885"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "2005000322",
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6004007401",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolla, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.