Family Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

4995 Issued in MO

Legal business name

FAMILY PHARMACY

Practice address

806 N Sturgeon St
Montgomery City, MO 63361-1426

Phone

(573) 564-2273

Fax

(573) 564-5249

NPI assigned

Jan 26, 2007

Last updated

Jun 13, 2013By 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

Mr. John B Holtman

Title

Partner

Phone

(573) 564-2272

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1841346269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 N STURGEON ST",
            "city": "MONTGOMERY CITY",
            "state": "MO",
            "postal_code": "633611426",
            "telephone_number": "573-564-2273",
            "fax_number": "573-564-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 N STURGEON ST",
            "city": "MONTGOMERY CITY",
            "state": "MO",
            "postal_code": "633611426",
            "telephone_number": "573-564-2273",
            "fax_number": "573-564-5249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "HOLTMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "573-564-2272",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "4995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "2625880",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "602645509",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clare K Devine
• East Central Missouri Behavioral Health Services, Inc
• Jeannine Marie Eldringhoff, COTA/L
• Family Pharmacy
• Family Pharmacy
• Diana L Gibbs, RNC WHNP
• Cheryl Harmon, D.D.S.
• Hermann Area Hospital District (Associated Medical Arts)
• Hermann Area Hospital District (Associated Medical Arts)
• Elizabeth A Holtman, PHARMD

• Community/Retail Pharmacy in Montgomery City, MO
• Providers in Montgomery City, 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 Jun 13, 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.