NPIMap

Organization Active NPI

Lin-Kris Pharmacy Inc

Doing business as Hillsboro Drug

  • Community/Retail Pharmacy
  • Hillsboro, MO
National Provider Identifier
1942227780
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2002005825 Issued in MO
Legal business name
LIN-KRIS PHARMACY INC
Doing business as
Hillsboro Drug
Practice address
10666 Business 21
Hillsboro, MO 63050-5097
Phone
(636) 797-3468
Fax
(636) 797-5260
NPI assigned
Jul 17, 2006
Last updated
Mar 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Authorized official

Name
Roy Eberhart, RPH
Title
President Owner
Phone
(636) 737-3468

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2002005825 MO Primary

Addresses

Primary practice location

10666 Business 21
Hillsboro, MO 63050-5097

Mailing address

PO Box 257
Hillsboro, MO 63050-0257
Phone (636) 797-3468

Other identifiers 2

IdentifierTypeStateIssuer
2048911OtherPK
600279301MedicaidMO

Other names 1

  • HILLSBORO DRUG Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040119000259 MO Part B Supplier - Mass Immunization (Roster Biller Only) 5193626588 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cedar Hill, MO; De Soto, MO; Hillsboro, MO

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Tax ID family
Lin Kris Pharmacy Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

6773 Mall Dr
Cedar Hill, MO 63016
Phone (636) 274-3111

7032 State Road BB
Cedar Hill, MO 63016
Phone (636) 274-3111

2020 Rock Rd
De Soto, MO 63020
Phone (636) 586-1766

Practitioners & affiliated clinicians

Practitioners 4

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": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1942227780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 257",
            "city": "HILLSBORO",
            "state": "MO",
            "postal_code": "630500257",
            "telephone_number": "636-797-3468",
            "fax_number": "636-797-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10666 BUSINESS 21",
            "city": "HILLSBORO",
            "state": "MO",
            "postal_code": "630505097",
            "telephone_number": "636-797-3468",
            "fax_number": "636-797-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIN-KRIS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "EBERHART",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "636-737-3468",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2002005825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2048911",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600279301",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HILLSBORO DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsboro, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.