Koerbles Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

005962 Issued in MO

Legal business name

KOERBLES PHARMACY INC

Doing business as

George'S Pharmacy

Practice address

3650 E Sunshine St
Springfield, MO 65809-2820

Phone

(417) 889-7898

Fax

(417) 889-0018

NPI assigned

Apr 21, 2006

Organization subpart

No

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

Authorized official

Name

Jim Montgomery

Title

President

Phone

(417) 889-7898

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• GEORGE'S PHARMACY Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Drewry, RPH

  • Pharmacist
  • Springfield, MO
  • NPI 1851700959
  NPD (past)
• Jill Andrea Sellers, BSPHARM, PHARMD

  • Pharmacotherapy Pharmacist
  • Springfield, MO
  • NPI 1013296631
  NPD (past)

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1740246636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 E SUNSHINE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658092820",
            "telephone_number": "417-889-7898",
            "fax_number": "417-889-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 E SUNSHINE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658092820",
            "telephone_number": "417-889-7898",
            "fax_number": "417-889-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOERBLES PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-889-7898"
    },
    "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": "MO",
            "license": "005962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "607979903",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2126855",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GEORGE'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mariya Kochubey, MD
• Rebecca Lynn Koehler, MA, SLP
• Christopher Douglas Koehn, M.D.
• Kelly Koehn, MD
• Gary M Koeppe, OTR L
• Giselle Damien Kohler, M.D.
• Melissa Jo Kokoszka, M.D.
• Brielle Kolb
• Jeremy A Kolb, AA
• Shirley A. Kolkmeyer, LPC

• Community/Retail Pharmacy in Springfield, MO
• Providers in Springfield, 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 Nov 6, 2013; 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.