Organization Active NPI

Family Health Pharmacies Inc

Doing business as Family Drug

  • Community/Retail Pharmacy
  • Louisiana, MO
National Provider Identifier
1780754440
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2016042402 Issued in MO
Legal business name
FAMILY HEALTH PHARMACIES INC
Doing business as
Family Drug
Practice address
301 Georgia St
Louisiana, MO 63353-1717
Phone
(573) 754-4551
Fax
(573) 754-6934
NPI assigned
Nov 9, 2006
Last updated
Jan 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Authorized official

Name
Shari Black
Title
President
Phone
(573) 754-4551

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Community/Retail Pharmacy 3336C0003X 2016042402 MO Primary
Long Term Care Pharmacy 3336L0003X NU
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

301 Georgia St
Louisiana, MO 63353-1717

Mailing address

301 Georgia St
Louisiana, MO 63353-1717
Phone (573) 754-4551

Other identifiers 2

IdentifierTypeStateIssuer
600059901MedicaidMO
2049810OtherPK

Other names 1

  • FAMILY DRUG Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bowling Green Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

301 Georgia St
Louisiana, MO 63353
Phone (573) 754-4551

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1780754440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 GEORGIA ST",
            "city": "LOUISIANA",
            "state": "MO",
            "postal_code": "633531717",
            "telephone_number": "573-754-4551",
            "fax_number": "573-754-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GEORGIA ST",
            "city": "LOUISIANA",
            "state": "MO",
            "postal_code": "633531717",
            "telephone_number": "573-754-4551",
            "fax_number": "573-754-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH PHARMACIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-754-4551"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2016042402",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600059901",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2049810",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisiana, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.