NPIMap

Organization Active NPI

Curators of the University of Missouri

Doing business as Mizzou Pharmacy - Fairview

  • Community/Retail Pharmacy
  • Columbia, MO
National Provider Identifier
1831100874
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
6152 Issued in MO
Legal business name
CURATORS OF THE UNIVERSITY OF MISSOURI
Doing business as
Mizzou Pharmacy - Fairview
Practice address
101 S Fairview Rd
Columbia, MO 65203-7637
Phone
(573) 884-8307
Fax
(573) 884-4773
NPI assigned
Aug 11, 2006
Last updated
Jun 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Authorized official

Name
Frederic A. Ransom
Title
Ceo
Phone
(573) 884-0054

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 6152 MO Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

101 S Fairview Rd
Columbia, MO 65203-7637

Mailing address

PO Box 843310
Kansas City, MO 64184-3310
Phone (573) 884-8307

Other identifiers 2

IdentifierTypeStateIssuer
2047657OtherPK
608897203MedicaidMO

Other names 1

  • MIZZOU PHARMACY - FAIRVIEW Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171102002324 MO Part B Supplier - Mass Immunization (Roster Biller Only) 6800704560 12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Jefferson City, MO; Versailles, MO; Columbia, MO

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Lab of Oral Pathology51 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1831100874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843310",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641843310",
            "telephone_number": "573-884-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S FAIRVIEW RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652037637",
            "telephone_number": "573-884-8307",
            "fax_number": "573-884-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURATORS OF THE UNIVERSITY OF MISSOURI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "RANSOM",
        "authorized_official_first_name": "FREDERIC",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-884-0054"
    },
    "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": "6152",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2047657",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "608897203",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIZZOU PHARMACY - FAIRVIEW",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MIZZOU PHARMACY - FAIRVIEW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.