Organization Active NPI

Joplin Pharmacy Associates

Doing business as Senior Care Pharmacy

  • Long Term Care Pharmacy
  • Joplin, MO
National Provider Identifier
1942281209
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
JOPLIN PHARMACY ASSOCIATES
Doing business as
Senior Care Pharmacy
Practice address
3220 Wisconsin Ave
Suite a
Joplin, MO 64804-4047
Phone
(417) 626-8180
Fax
(417) 626-8176
NPI assigned
Nov 11, 2005
Last updated
Mar 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Authorized official

Name
Mrs. Lynn Connor, R.PH.
Title
Chief Executive Officer
Phone
(205) 310-8627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

3220 Wisconsin Ave
Suite a
Joplin, MO 64804-4047

Mailing address

3220 Wisconsin Ave
Suite a
Joplin, MO 64804-4047

Other identifiers 5

IdentifierTypeStateIssuer
13845407MedicaidAR
100444740AMedicaidKS
1999137960OtherSTATE LICENSE
604752907MedicaidMO
2632873OtherNCPDP

Other names 1

  • Senior Care Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

3220 Wisconsin Ave
Ste A
Joplin, MO 64804
Phone (417) 347-7338

Practitioners & affiliated clinicians

Practitioners 3

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": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1942281209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 WISCONSIN AVE",
            "address_2": "SUITE A",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044047",
            "fax_number": "888-626-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 WISCONSIN AVE",
            "address_2": "SUITE A",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044047",
            "telephone_number": "417-626-8180",
            "fax_number": "417-626-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOPLIN PHARMACY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "CONNOR",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "205-310-8627",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13845407",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100444740A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1999137960",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "604752907",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2632873",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.