Marionville Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MARIONVILLE PHARMACY LLC

Practice address

201 S Highway 60
Marionville, MO 65705-9407

Phone

(417) 258-2526

NPI assigned

Jul 16, 2024

Last updated

Jul 16, 2024By 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. Steve McClanahan

Title

Owner

Phone

(417) 576-0643

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Tax ID family

Marionville Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Marionville Pharmacy LLC

  • Long Term Care Pharmacy
  • Marionville, MO
  • NPI 1598582421
  NPD tax ID

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1861230799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S HIGHWAY 60",
            "city": "MARIONVILLE",
            "state": "MO",
            "postal_code": "657059407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S HIGHWAY 60",
            "city": "MARIONVILLE",
            "state": "MO",
            "postal_code": "657059407",
            "telephone_number": "417-258-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIONVILLE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "MCCLANAHAN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-576-0643",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hines Street Pharmacy 2 LLC (Marionville Health Services)
• Emily Erin Hood, MS CCC SLP
• Gail Irwin, EAL
• David William Kuzemka, SLP
• Marionville Pharmacy LLC
• Marionville Reorganized Dist 9
• Nuts (Marionville Pharmacy)
• Nuts Inc (Marionville Pharmacy)
• Nuts Inc (Marionville Pharmacy)
• Erica Plank, LPC

• Community/Retail Pharmacy in Marionville, MO
• Providers in Marionville, 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 Jul 16, 2024; 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.