Kreisler Drug #3

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

PS004203 Issued in MO

Legal business name

KREISLER DRUG #3

Practice address

1810 E Ohio St
Clinton, MO 64735-2429

Phone

(660) 885-2227

Fax

(660) 885-6589

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Paul HendricksNPI 1912002973

Title

Pharmacist

Phone

(660) 885-6589

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Hendricks, RPH

  • Pharmacist
  • Clinton, MO
  • NPI 1912002973
  NPD (past) Authorized official

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861511065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 528",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647350528",
            "telephone_number": "660-885-2227",
            "fax_number": "660-885-6589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 E OHIO ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352429",
            "telephone_number": "660-885-2227",
            "fax_number": "660-885-6589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREISLER DRUG #3",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "660-885-6589"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "PS004203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Duaine Knapp, D.D.S.
• Pamela J. Knowles, RN
• Christine D Kornbluth, LCSW, ACSW, MSW
• Alaa Kozaat
• Kreisler Clnic Pharmacy
• Kreisler Drug #3 Inc.
• Kreisler Drug Co. Inc.
• Kreisler Drug Store
• Denise Krewson, LMSW
• Donnalyn Kuck, LSW

• Durable Medical Equipment & Medical Supplies in Clinton, MO
• Providers in Clinton, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.