Organization Active NPI

Lin Kris Pharmacy Inc

Doing business as House Springs Pharmacy

  • Community/Retail Pharmacy
  • House Springs, MO
National Provider Identifier
1891712659
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2002005822 Issued in MO
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, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
LIN KRIS PHARMACY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
600748701MedicaidMO

Other names 1

  • House Springs Pharmacy Doing business as

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.

Verify at the official NPI Registry.