Red Cross Pharmacy, LLC
Organization Active NPI Long Term Care Pharmacy · Marshall, MO
NPI 1871671065 · NPPES record last updated May 7, 2024
Key facts
- NPI
- 1871671065
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- Legal business name
- RED CROSS PHARMACY, LLC
- Practice address
- 157 S Jefferson Ave
Marshall, MO 65340-2132 - Phone
- (660) 886-5515
- Fax
- (660) 886-2890
- NPI assigned
- Nov 2, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Scott Brenden Hartwig
- Title
- Co-President/Ceo (Owner)
- Phone
- (660) 886-5535
Other NPIs on the same Medicare enrollment 19
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 3
Member of 1
Practitioners 12
-
Alissa Marie Bruner, PHARMD
-
Christy Butner, PHARM.D.
-
Nicole Carver, PHARM D
-
Tracy Dee Dryer, RPH
-
Kyle Brandon Kocher, PHARM. D.
-
Marlyne Evion Maple, RPH
-
Gary Turner, PHARMACIST
-
Ashley Suzane Weaver, PHARMD
-
Tamara Lynn Wilhoit, R.PH.
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Red Cross LTC Pharmacy |
Blood Glucose Monitors/Supplies (Non-Mail Order)|Orthoses: Off-The-Shelf | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040929000382 | MO | Part B Supplier - Mass Immunization (Roster Biller Only) | 2466421102 |
20 other NPIs on this enrollment Practice locations: Excelsior Springs, MO; Marshall, MO |
| O20100930086536 | MO | DME Supplier - Pharmacy | 2466421102 | Practice locations: Marshall, MO |
National Provider Directory
- Tax ID family
- Red Cross Pharmacy
Locations
401 Main St
Belton, MO 64012
Phone (816) 331-4747
1018 N Jesse James Rd
Excelsior Springs, MO 64024
Phone (816) 637-5555
1712 Main St
Higginsville, MO 64037
Phone (660) 584-2110
810 W 35th St
Ste 102
Higginsville, MO 64037
Phone (660) 584-2110
1030 Main St
Lexington, MO 64067
Phone (660) 259-2258
402 E Briggs Dr
Macon, MO 63552
Phone (660) 385-2147
157 S Jefferson Ave
Marshall, MO 65340
Phone (660) 886-5515
2303 S Highway 65
Ste B
Marshall, MO 65340
Phone (660) 831-1687
101 S 2nd St
Odessa, MO 64076
Phone (816) 633-5518
706 Wollard Blvd
Richmond, MO 64085
Phone (816) 776-3315
227 S Broadway
Salisbury, MO 65281
Phone (660) 388-5221
509 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-9171
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 2004003515 | MO | |
| Home Infusion Therapy Pharmacy | 3336H0001X | 2004003515 | MO | |
| Long Term Care Pharmacy | 3336L0003X | Yes | ||
| Specialty Pharmacy | 3336S0011X | 2004003515 | MO |
Addresses
Primary practice location
157 S Jefferson Ave
Marshall, MO 65340-2132
Mailing address
PO Box 917
Marshall, MO 65340-0917
Phone (660) 886-5535
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 606105005 | Medicaid | MO |
Other names
- Red Cross LTC Pharmacy
Other providers in Marshall, MO
- Robin R Rasse
- Cinthia Ratliff
- Richard Raynor
- Red Cross Pharmacy, Inc
- Red Cross Pharmacy, Inc.
- Regional Health Care Clinic Inc
- Regional Health Care Clinic Inc
- Regional Health Care Clinic, Inc
- Regional Health Care Clinic, Inc.
- Misty Relos
All providers in Marshall, MO · Long Term Care Pharmacy in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.