Active NPI
Lin Kris Pharmacy Inc
Doing business as House Springs Pharmacy
- Community/Retail Pharmacy
- House Springs, MO
National Provider Identifier
1891712659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2002005822
- Legal business name
- LIN KRIS PHARMACY INC
- Doing business as
- House Springs Pharmacy
- Practice address
- 4642 House Springs Ctr
House Springs, MO 63051-1376 - Phone
- (636) 671-4600
- Fax
- (636) 671-3388
- NPI assigned
- Jul 17, 2006
- Last updated
- Jun 18, 2008
- Organization subpart
- Yes
- Parent organization
- LIN KRIS PHARMACY INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Roy H Eberhart II, R.PH
- Title
- President/Owner
- Phone
- (636) 671-4600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 2002005822 | MO | Primary |
Addresses
Primary practice location
4642 House Springs Ctr
House Springs, MO 63051-1376
Mailing address
4642 House Springs Ctr
House Springs, MO 63051-1376
Phone (636) 671-4600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600748701 | Medicaid | MO |
Other names 1
- House Springs Pharmacy
National Provider Directory
National Provider Directory- Part of
- Lin Kris Pharmacy Inc
Locations
4642 House Springs Ctr
House Springs, MO 63051
Phone (636) 671-4600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213747200000",
"number": "1891712659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4642 HOUSE SPRINGS CTR",
"city": "HOUSE SPRINGS",
"state": "MO",
"postal_code": "630511376",
"telephone_number": "636-671-4600",
"fax_number": "636-671-3388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4642 HOUSE SPRINGS CTR",
"city": "HOUSE SPRINGS",
"state": "MO",
"postal_code": "630511376",
"telephone_number": "636-671-4600",
"fax_number": "636-671-3388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIN KRIS PHARMACY INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LIN KRIS PHARMACY INC",
"enumeration_date": "2006-07-17",
"last_updated": "2008-06-18",
"status": "A",
"authorized_official_last_name": "EBERHART",
"authorized_official_first_name": "ROY",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "636-671-4600",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "R.PH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MO",
"license": "2002005822",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "600748701",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "House Springs Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in House Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.