Joe's Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

00268 Issued in MO

Legal business name

JOE'S PHARMACY INC

Doing business as

Joe's Pharmacy

Practice address

489 S Jefferson Ave
Lebanon, MO 65536-3261

Phone

(417) 532-7128

Fax

(417) 532-9610

NPI assigned

Oct 3, 2006

Last updated

Oct 14, 2020By 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

Susan Elizabeth Hill, RPHNPI 1811174436

Title

Pic

Phone

(417) 532-7128

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Joe's Pharmacy Doing business as

Locations

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.

• Susan Elizabeth Hill, RPH

  • Pharmacist
  • Versailles, MO
  • NPI 1811174436
  NPD (past) Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1790879526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 S JEFFERSON AVE",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655363261",
            "telephone_number": "417-532-7128",
            "fax_number": "417-532-9610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 S JEFFERSON AVE",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655363261",
            "telephone_number": "417-532-7128",
            "fax_number": "417-532-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE'S PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "417-532-7128",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "00268",
            "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": "600585509",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joe's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary E Isaacs, M.S.
• Theresa M. Ivey, LCSW
• Jeannie Ann James, LPC
• Craig P Jay, RPH
• Chara Leigh Jensen, PT
• Daniel L. Johnson, FNP
• Sara Ann Johnson, PHYSICAL THERAPIST
• Whitney Wolfe Johnson
• Katie Jones
• Kelsey Jones, FNP

• Community/Retail Pharmacy in Lebanon, MO
• Providers in Lebanon, 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 Oct 14, 2020; 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.