Crain Moxey Pharm Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CRAIN MOXEY PHARM INC

Doing business as

Medicine Shoppe

Practice address

613 S Main St
Sikeston, MO 63801-3041

Phone

(573) 472-2622

Fax

(573) 472-2623

NPI assigned

Nov 15, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ernie Moxey, RPH

Title

Owner Pharmacist

Phone

(573) 472-2622

Specialties & licenses 3

Addresses

Other identifiers 4

Other names 1

• MEDICINE SHOPPE Doing business as

Locations

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1740352533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 S MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638013041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 S MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638013041",
            "telephone_number": "573-472-2622",
            "fax_number": "573-472-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIN MOXEY PHARM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MOXEY",
        "authorized_official_first_name": "ERNIE",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "573-472-2622",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "003799",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "003799",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621176908",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "851176909",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2617578",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601176902",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margaret Rachel Coppage, FNP
• Lindsey Ballard Corlew, PHARM D
• Heather Katherine Cox, MSW, LCSW
• Samuel Thomas Cox
• Kylie Suzanne Crader
• Karen Crane, MA, NCC, PLPC
• Kristopher R. Crawford, M.D.
• Christopher Creecy, PLPC
• Michael Edward Critchlow, M. D.
• Crossroads Isl, LLC

• Community/Retail Pharmacy in Sikeston, MO
• Providers in Sikeston, 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 Mar 7, 2023; 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.