Active NPI
Ahnefeld Pharm LLC
Doing business as Jodi's Family Pharmacy
- Community/Retail Pharmacy
- Carrollton, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- AHNEFELD PHARM LLC
- Doing business as
- Jodi's Family Pharmacy
- Practice address
- 1004 N US Highway 65
Carrollton, MO 64633-1971 - Phone
- (660) 542-0050
- NPI assigned
- Nov 1, 2018
- Last updated
- Nov 1, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jodi Dawn Ahnefeld, PHARMD, RPH
- Title
- Owner/Pic
- Phone
- (816) 560-3337
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1004 N US Highway 65
Carrollton, MO 64633-1971
Mailing address
1004 N US Highway 65
Carrollton, MO 64633-1971
Phone (660) 542-0050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2018039905 | Other | MO | MISSOURI BOARD OF PHARMACY |
Other names 1
- Jodi's Family Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181214001559 | MO | Part B Supplier - Pharmacy | 4385989623 | Practice locations: Carrollton, MO |
National Provider Directory
National Provider DirectoryLocations
1004 N US Highway 65
Carrollton, MO 64633
Phone (660) 542-0050
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Pharmacist
- Carrollton, MO
- NPI 1790097764
-
- Pharmacist
- Carrollton, MO
- NPI 1548270127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1541030400000",
"number": "1932676574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 N US HIGHWAY 65",
"city": "CARROLLTON",
"state": "MO",
"postal_code": "646331971",
"telephone_number": "660-542-0050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 N US HIGHWAY 65",
"city": "CARROLLTON",
"state": "MO",
"postal_code": "646331971",
"telephone_number": "660-542-0050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AHNEFELD PHARM LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-11-01",
"last_updated": "2018-11-01",
"status": "A",
"authorized_official_last_name": "AHNEFELD",
"authorized_official_first_name": "JODI",
"authorized_official_middle_name": "DAWN",
"authorized_official_title_or_position": "OWNER/PIC",
"authorized_official_telephone_number": "816-560-3337",
"authorized_official_credential": "PHARMD, RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSOURI BOARD OF PHARMACY",
"identifier": "2018039905",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Jodi's Family Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carrollton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.