NPIMap

Organization Active NPI

Sweet Springs Pharmacy Inc

Doing business as Cameron Family Pharmacy

  • Pharmacy
  • Cameron, MO
National Provider Identifier
1891117933
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
SWEET SPRINGS PHARMACY INC
Doing business as
Cameron Family Pharmacy
Practice address
1303 N Walnut St
Cameron, MO 64429-1326
Phone
(816) 632-2201
Fax
(816) 632-4237
NPI assigned
Jan 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Authorized official

Name
Jill Saunders, PHARM.D.
Title
Pharmacist-in-Charge
Phone
(816) 592-1102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

1303 N Walnut St
Cameron, MO 64429-1326

Mailing address

1303 N Walnut St
Cameron, MO 64429-1326
Phone (816) 632-2201

Other identifiers 1

IdentifierTypeStateIssuer
1891117933MedicaidMO

Other names 1

  • Cameron Family Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071217000821 MO Part B Supplier - Mass Immunization (Roster Biller Only) 0547350357 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cameron, MO; Marceline, MO; Sweet Springs, MO

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Sweet Springs Pharmacy Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1303 N Walnut St
Cameron, MO 64429
Phone (816) 632-2201

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1891117933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 N WALNUT ST",
            "city": "CAMERON",
            "state": "MO",
            "postal_code": "644291326",
            "telephone_number": "816-632-2201",
            "fax_number": "816-632-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 N WALNUT ST",
            "city": "CAMERON",
            "state": "MO",
            "postal_code": "644291326",
            "telephone_number": "816-632-2201",
            "fax_number": "816-632-4237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET SPRINGS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-08",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "816-592-1102",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891117933",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cameron Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cameron, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.