NPIMap

Organization Active NPI

Curators of the University of Missouri

Doing business as Mizzou Pharmacy - Versailles

  • Community/Retail Pharmacy
  • Versailles, MO
National Provider Identifier
1922032903
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
003197 Issued in MO
Legal business name
CURATORS OF THE UNIVERSITY OF MISSOURI
Doing business as
Mizzou Pharmacy - Versailles
Practice address
901 Kidwell Dr
Versailles, MO 65084
Phone
(573) 378-4661
Fax
(573) 378-5053
NPI assigned
Jul 10, 2006
Last updated
Apr 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Mr. Frederic A. Ransom
Title
Ceo
Phone
(573) 884-0054

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 003197 MO Primary
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

901 Kidwell Dr
Versailles, MO 65084

Mailing address

901 Kidwell Dr
Versailles, MO 65084
Phone (573) 378-4661

Other names 1

  • Mizzou Pharmacy - Versailles Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20171102002324 MO Part B Supplier - Mass Immunization (Roster Biller Only) 6800704560 12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Jefferson City, MO; Versailles, MO; Columbia, MO
O20240417001999 MO Part B Supplier - Pharmacy 6800704560 Practice locations: Versailles, MO
O20240507001337 MO DME Supplier - Pharmacy 6800704560 Practice locations: Versailles, MO

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 12

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Mizzou Pharmacy - Versailles901 Kidwell Drive, Versailles, MO 65084-1784(573) 378-4661 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Univ Umkc School of Dentisty51 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

Locations

220 Madison St
Jefferson City, MO 65101
Phone (573) 632-4900

3308 W Edgewood Dr
Jefferson City, MO 65109
Phone (573) 636-5450

3308 W Edgewood Dr
Ste F
Jefferson City, MO 65109
Phone (573) 632-5000

1500 Southwest Blvd
Jefferson Cty, MO 65109
Phone (573) 632-5786

2009 E McCarty St
Jefferson Cty, MO 65101
Phone (314) 636-9000

999 Diamond Rdg
Ste 201
Jefferson Cty, MO 65109
Phone (573) 632-5585

916 E Main St
Linn, MO 65051
Phone (573) 897-2525

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rusk Rehabilitation Hospital, an Affiliation of Encompass Health and MColumbia, MO, CCN 263027 Hospital 5% Or Greater Direct Ownership Interest (25%) Feb 10, 1995
University of Missouri Health CareColumbia, MO, CCN 260141 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
University of Missouri Health Care - Missouri Psychiatric CenterColumbia, MO, CCN 26S141 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2007
Capital Region Medical Center - RehabilitationJefferson City, MO, CCN 26T141 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1922032903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 KIDWELL DR",
            "city": "VERSAILLES",
            "state": "MO",
            "postal_code": "65084",
            "telephone_number": "573-378-4661",
            "fax_number": "573-378-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 KIDWELL DR",
            "city": "VERSAILLES",
            "state": "MO",
            "postal_code": "65084",
            "telephone_number": "573-378-4661",
            "fax_number": "573-378-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURATORS OF THE UNIVERSITY OF MISSOURI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "RANSOM",
        "authorized_official_first_name": "FREDERIC",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-884-0054",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "003197",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mizzou Pharmacy - Versailles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Versailles, MO

Sources for this page

Verify at the official NPI Registry.