Laurie Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

2005038678 Issued in MO

Legal business name

LAURIE PHARMACY INC

Doing business as

SENIOR PHARMACY

Practice address

901 Kidwell Dr Ste C
Versailles, MO 65084-1784

Phone

(573) 378-1916

Fax

(573) 378-5053

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

Tom Todd

Title

Owner

Phone

(573) 378-1916

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• SENIOR PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1801812813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 KIDWELL DR STE C",
            "city": "VERSAILLES",
            "state": "MO",
            "postal_code": "650841784",
            "telephone_number": "573-378-1916",
            "fax_number": "573-378-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 KIDWELL DR STE C",
            "city": "VERSAILLES",
            "state": "MO",
            "postal_code": "650841784",
            "telephone_number": "573-378-1916",
            "fax_number": "573-378-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURIE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-378-1916"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MO",
            "license": "2005038678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2636403",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SENIOR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kidwell Home
• Rebecca Elaine Kimbell, MSN, APRN, CNP
• Julie Kisner, LCSW
• Mary Kloeppel
• Sunshine Lafoy
• Sylvia Lawson-Cook, LCSW
• Colin Lepley, PTA
• Shanon K Luke, MD
• Destiny Almajo Maben, COTA/L
• Hanna Michels, PT

• Long Term Care Pharmacy in Versailles, MO
• Providers in Versailles, MO by specialty
• Long Term Care Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.