Kreisler Drug Co. Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2683 Issued in MO

Legal business name

KREISLER DRUG CO. INC.

Practice address

117 W Franklin St
Clinton, MO 64735-2007

Phone

(660) 885-5551

Fax

(660) 885-6940

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David D. Hubble, RPH

Title

Pharmacist in Charge

Phone

(660) 885-5551

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1780789305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W. FRANKLIN STREET",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "64735",
            "telephone_number": "660-885-5551",
            "fax_number": "660-885-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W FRANKLIN ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352007",
            "telephone_number": "660-885-5551",
            "fax_number": "660-885-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREISLER DRUG CO. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "HUBBLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "660-885-5551",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "600129803",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600129803",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine D Kornbluth, LCSW, ACSW, MSW
• Alaa Kozaat
• Kreisler Clnic Pharmacy
• Kreisler Drug #3
• Kreisler Drug #3 Inc.
• Kreisler Drug Store
• Denise Krewson, LMSW
• Donnalyn Kuck, LSW
• Dana M Lamair
• Angela Marie Lamb, PLMFT

• Community/Retail Pharmacy in Clinton, MO
• Providers in Clinton, 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 Jul 9, 2010; 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.