Active NPI
Healthcare Pharmacy Inc
- Community/Retail Pharmacy
- Eureka, MO
National Provider Identifier
1790794394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 005861
- Legal business name
- HEALTHCARE PHARMACY INC
- Practice address
- 215 Thresher Dr
Eureka, MO 63025-1923 - Phone
- (636) 938-4600
- Fax
- (636) 938-6574
- NPI assigned
- Aug 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Vance
- Title
- Pic
- Phone
- (636) 938-4600
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 005861 | MO | Primary |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
215 Thresher Dr
Eureka, MO 63025-1923
Mailing address
PO Box 145
Eureka, MO 63025-0145
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2050490 | Other | PK | |
| 602030801 | Medicaid | MO |
Other names 1
- THE MEDICINE SHOPPE
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405987200000",
"number": "1790794394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 145",
"city": "EUREKA",
"state": "MO",
"postal_code": "630250145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 THRESHER DR",
"city": "EUREKA",
"state": "MO",
"postal_code": "630251923",
"telephone_number": "636-938-4600",
"fax_number": "636-938-6574"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHCARE PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-05",
"last_updated": "2014-07-22",
"status": "A",
"authorized_official_last_name": "VANCE",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PIC",
"authorized_official_telephone_number": "636-938-4600"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MO",
"license": "005861",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2050490",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "602030801",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "THE MEDICINE SHOPPE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Eureka, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.