Active NPI
Town & Country Pharmacies, Inc.
- Community/Retail Pharmacy
- Jackson, MO
National Provider Identifier
1700979457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2003009590
- Legal business name
- TOWN & COUNTRY PHARMACIES, INC.
- Practice address
- 404 South Hope St.
Jackson, MO 63755 - Phone
- (573) 243-3117
- NPI assigned
- Oct 2, 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
- Mr. Donald Schreiber
- Title
- President
- Phone
- (636) 227-6962
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 2003009590 | MO | |
| Community/Retail Pharmacy | 3336C0003X | 2003009590 | MO | Primary |
Addresses
Primary practice location
404 South Hope St.
Jackson, MO 63755
Mailing address
404 South Hope St.
Jackson, MO 63755
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620127308 | Medicaid | MO | |
| 600127302 | Medicaid | MO |
Other names 1
- Thriftway Drugs
National Provider Directory
National Provider Directory- Tax ID family
- Town Country Pharmacies in
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacist
- Jackson, MO
- NPI 1235124652
-
- Community/Retail Pharmacy
- Du Quoin, IL
- NPI 1255424826
-
- Community/Retail Pharmacy
- Decatur, IL
- NPI 1285720847
-
- Community/Retail Pharmacy
- Bloomington, IN
- NPI 1548353196
-
- Long Term Care Pharmacy
- Du Quoin, IL
- NPI 1821557240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209686400000",
"number": "1700979457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 SOUTH HOPE ST.",
"city": "JACKSON",
"state": "MO",
"postal_code": "63755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 SOUTH HOPE ST.",
"city": "JACKSON",
"state": "MO",
"postal_code": "63755",
"telephone_number": "573-243-3117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN & COUNTRY PHARMACIES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2008-05-02",
"status": "A",
"authorized_official_last_name": "SCHREIBER",
"authorized_official_first_name": "DONALD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "636-227-6962",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MO",
"license": "2003009590",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MO",
"license": "2003009590",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "620127308",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "600127302",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Thriftway Drugs",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jackson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.