Ozark Compounding Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2002023724 Issued in MO

Legal business name

OZARK COMPOUNDING PHARMACY

Doing business as

Ozark Compounding Pharmacy

Practice address

2902 A McClelland Blvd
Suite 1
Joplin, MO 64804

Phone

(417) 621-0700

Fax

(417) 621-0770

NPI assigned

Aug 23, 2010

Last updated

Aug 23, 2010By 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

Steven Charles, R.PH.

Title

Pharmacist

Phone

(417) 621-0700

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• OZARK COMPOUNDING PHARMACY Doing business as

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1831405257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 A MCCLELLAND BLVD",
            "address_2": "SUITE 1",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "64804",
            "telephone_number": "417-621-0700",
            "fax_number": "417-621-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 A MCCLELLAND BLVD",
            "address_2": "SUITE 1",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "64804",
            "telephone_number": "417-621-0700",
            "fax_number": "417-621-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK COMPOUNDING PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-23",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "417-621-0700",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2002023724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2635247",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OZARK COMPOUNDING PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ozark Center
• Ozark Center (Ozark Center Pharmacy)
• Ozark Center
• Ozark Center (Cstarw15)
• Ozark Center - DD Outpatient
• Ozark Family Dental, LLC
• Ozark Gastroenterology, Inc
• Ozark Tri County Health Care Consortium (ACCESS Family Care)
• Ozark Tri-County Health Care Consortium (Access Family Care)
• Ozark Tri-County Health Care Consortium (Access Family Care)

• Community/Retail Pharmacy in Joplin, MO
• Providers in Joplin, 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 Aug 23, 2010; 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.