Ozark Specialty Pharmacy and Home Infusion, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

OZARK SPECIALTY PHARMACY AND HOME INFUSION, LLC

Doing business as

Ozark Pharmacy

Practice address

2725 N Westwood Blvd Ste 1a
Poplar Bluff, MO 63901-2367

Phone

(573) 772-5800

Fax

(573) 287-3535

NPI assigned

Jun 6, 2022

Last updated

Jun 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cheri Barton

Title

Coo

Phone

(738) 724-2195

Specialties & licenses 1

Addresses

Other names 1

• Ozark Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Tax ID family

Ozark Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Ozark Specialty Pharmacy and Home Infusion, LLC

  • Community/Retail Pharmacy
  • Poplar Bluff, MO
  • NPI 1073424941
  NPD tax ID

Locations

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1922737964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 N WESTWOOD BLVD STE 1A",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012367",
            "telephone_number": "573-772-5800",
            "fax_number": "573-287-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 N WESTWOOD BLVD STE 1A",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012367",
            "telephone_number": "573-772-5800",
            "fax_number": "573-287-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK SPECIALTY PHARMACY AND HOME INFUSION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "CHERI",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "738-724-2195",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ozark Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ozark Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ozark Physical Therapy LLP
• Ozark Physical Therapy, LLP
• Ozark Rural Healthcare LLC
• Ozark Specialty Pharmacy and Home Infusion, LLC
• Ozark Specialty Pharmacy and Home Infusion, LLC (Ozark Pharmacy, LTC)
• Teri Lynn Page, O.D.
• Silvia Pagoada Vallecillo, M.D.
• Christal Dawn Painter
• Natosha Renea Painter
• Palladian Senior Care of Poplar Bluff LLC. (Oakdale Care Center ALF)

• Community/Retail Pharmacy in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.