NPIMap

Organization Active NPI

Ozarks Medical Center

Doing business as Ozarks Healthcare Pharmacy Mountain Grove

  • Community/Retail Pharmacy
  • Mountain Grove, MO
National Provider Identifier
1720867369
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
OZARKS MEDICAL CENTER
Doing business as
Ozarks Healthcare Pharmacy Mountain Grove
Practice address
500 E 19TH St Ste D
Mountain Grove, MO 65711-1115
Phone
(417) 372-8732
Fax
(866) 291-1699
NPI assigned
Sep 25, 2023
Last updated
Jul 16, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
OZARKS MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Terence F Farrell, MHA, FACHE
Title
President/Ceo
Phone
(417) 256-9111

Specialties & licenses 1

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

Addresses

Primary practice location

500 E 19TH St Ste D
Mountain Grove, MO 65711-1115

Mailing address

500 E 19TH St Ste D
Mountain Grove, MO 65711-1115
Phone (417) 372-8732

Other names 1

  • Ozarks Healthcare Pharmacy Mountain Grove Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL 2.16.840.1.113883.3.1476 Health Information Exchange (HIE) Ozarks Medical Center

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210604001810 MO Part B Supplier - Pharmacy 3870491863 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gainesville, MO; West Plains, MO; Thayer, MO; Mountain Grove, 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
Tax ID family
Omc Outreach Cli Winona46 organizations share this tax ID, including this one
Part of
Omc Outreach Cli Winona

Other organizations with this tax ID 45

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

View all 45

Locations

500 E 19th St
Ste D
Mountain Grove, MO 65711
Phone (417) 349-2668

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1720867369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E 19TH ST STE D",
            "city": "MOUNTAIN GROVE",
            "state": "MO",
            "postal_code": "657111115",
            "telephone_number": "417-372-8732",
            "fax_number": "866-291-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E 19TH ST STE D",
            "city": "MOUNTAIN GROVE",
            "state": "MO",
            "postal_code": "657111115",
            "telephone_number": "417-372-8732",
            "fax_number": "866-291-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARKS MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OZARKS MEDICAL CENTER",
        "enumeration_date": "2023-09-25",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "TERENCE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "417-256-9111",
        "authorized_official_credential": "MHA, FACHE"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "2.16.840.1.113883.3.1476",
            "affiliation": "Y",
            "endpointDescription": "TEFCA OID",
            "affiliationName": "Ozarks Medical Center",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "TEFCA Exchange",
            "address_1": "500 E 19th St Ste D",
            "city": "Mountain Grove",
            "state": "MO",
            "country_code": "US",
            "postal_code": "657111115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ozarks Healthcare Pharmacy Mountain Grove",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ozarks Healthcare Pharmacy Mountain Grove",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain Grove, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.