Organization Active NPI

Kuler Drugs LLC

Doing business as Med Depot Pharmacy

  • Community/Retail Pharmacy
  • Kirksville, MO
National Provider Identifier
1790835874
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
004752 Issued in MO
Legal business name
KULER DRUGS LLC
Doing business as
Med Depot Pharmacy
Practice address
800 W Jefferson St
Kirksville, MO 63501-1443
Phone
(660) 665-7239
Fax
(660) 665-6474
NPI assigned
Jan 11, 2007
Last updated
Dec 13, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
KULER DRUGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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

Authorized official

Name
Steve Kuttenkuler, RPHNPI 1699075275
Title
Pharmacist
Phone
(660) 665-7239

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 004752 MO Primary
Long Term Care Pharmacy 3336L0003X NU

Addresses

Primary practice location

800 W Jefferson St
Kirksville, MO 63501-1443

Mailing address

800 W Jefferson St
Kirksville, MO 63501-1443
Phone (660) 665-7239

Other identifiers 1

IdentifierTypeStateIssuer
601504608MedicaidMO

Other names 1

  • Med Depot Pharmacy Doing business as

National Provider Directory

National Provider Directory
Part of
Kuler Drugs LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544659200000",
    "number": "1790835874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W JEFFERSON ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635011443",
            "telephone_number": "660-665-7239",
            "fax_number": "660-665-6474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W JEFFERSON ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635011443",
            "telephone_number": "660-665-7239",
            "fax_number": "660-665-6474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KULER DRUGS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KULER DRUGS LLC",
        "enumeration_date": "2007-01-11",
        "last_updated": "2018-12-13",
        "status": "A",
        "authorized_official_last_name": "KUTTENKULER",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "660-665-7239",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "004752",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601504608",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med Depot Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Med Depot Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirksville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; 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.