Active NPI
Family Pharmacy Inc.
- Community/Retail Pharmacy
- Carl Junction, MO
National Provider Identifier
1720312911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- FAMILY PHARMACY INC.
- Practice address
- 1300 Pennell St
Carl Junction, MO 64834-9478 - Phone
- (417) 649-7600
- Fax
- (417) 649-7518
- NPI assigned
- Sep 22, 2009
- 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
- Mrs. Carrie D. Tennis
- Title
- Director of Operations
- Phone
- (417) 581-4335
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
1300 Pennell St
Carl Junction, MO 64834-9478
Mailing address
1300 E, Pennell St.
Carl Junction, MO 64834
Phone (417) 649-7600
Other names 1
- Family Pharmacy #24
National Provider Directory
National Provider Directory- Tax ID family
- Family Pharmacy 24
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Ozark, MO
- NPI 1336502855
Locations
1300 Pennell St
Carl Junction, MO 64834
Phone (417) 649-7600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253577600000",
"number": "1720312911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 E, PENNELL ST.",
"city": "CARL JUNCTION",
"state": "MO",
"postal_code": "64834",
"telephone_number": "417-649-7600",
"fax_number": "417-649-7518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 PENNELL ST",
"city": "CARL JUNCTION",
"state": "MO",
"postal_code": "648349478",
"telephone_number": "417-649-7600",
"fax_number": "417-649-7518"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-22",
"last_updated": "2009-09-22",
"status": "A",
"authorized_official_last_name": "TENNIS",
"authorized_official_first_name": "CARRIE",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "417-581-4335",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Pharmacy #24",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carl Junction, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.