NPIMap

Organization Active NPI

Wilkare Pharmacy LLC

Doing business as Malden Pharmacy & Home Medical Equipment

  • Pharmacy
  • Malden, MO
National Provider Identifier
1942540026
Registry record updated Aug 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
2016027108 Issued in MO
Legal business name
WILKARE PHARMACY LLC
Doing business as
Malden Pharmacy & Home Medical Equipment
Practice address
214 W Main St
Malden, MO 63863-2114
Phone
(573) 276-3784
NPI assigned
Feb 26, 2013
Last updated
Aug 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2017

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

Authorized official

Name
Stephanie Lindsey
Title
Pharmacy Manager
Phone
(573) 996-1347

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 2016027108 MO Primary
Community/Retail Pharmacy 3336C0003X NU
Long Term Care Pharmacy 3336L0003X NU

Addresses

Primary practice location

214 W Main St
Malden, MO 63863-2114

Mailing address

214 W Main St
Malden, MO 63863-2114
Phone (573) 276-3784

Other identifiers 1

IdentifierTypeStateIssuer
2163848OtherPK

Other names 1

  • Malden Pharmacy & Home Medical Equipment Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Malden Pharmacy Home Medical Equipment3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

214 W Main St
Malden, MO 63863
Phone (573) 276-3784

NPI Registry JSON

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504137600000",
    "number": "1942540026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 W MAIN ST",
            "city": "MALDEN",
            "state": "MO",
            "postal_code": "638632114",
            "telephone_number": "573-276-3784",
            "fax_number": "573-276-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W MAIN ST",
            "city": "MALDEN",
            "state": "MO",
            "postal_code": "638632114",
            "telephone_number": "573-276-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2017-08-31",
        "status": "A",
        "authorized_official_last_name": "LINDSEY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "573-996-1347"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MO",
            "license": "2016027108",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2163848",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Malden Pharmacy & Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Malden, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; 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.