Town & Country Super Market Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

200539822 Issued in MO

Legal business name

TOWN & COUNTRY SUPER MARKET INC

Practice address

43 East Highway 8
Steelville, MO 65565

Phone

(573) 775-4666

Fax

(573) 775-3393

NPI assigned

Nov 8, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Janet L Gott, RPH

Title

Pharmacy Director

Phone

(573) 729-4091

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Country Mart Pharmacy #2425 Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

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

• Town & Country Super Market Inc

  • Community/Retail Pharmacy
  • Dixon, MO
  • NPI 1083695902

  O20130325000304

  Same enrollment
• Town and Country Super Market , Inc

  • Pharmacist
  • Ozark, MO
  • NPI 1427524594

  O20130325000304

  Same enrollment
• Town and Country Super Market Inc

  • Community/Retail Pharmacy
  • Piedmont, MO
  • NPI 1457844748

  O20130325000304

  Same enrollment

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Richard Sands, RPH

  • Pharmacist
  • Steelville, MO
  • NPI 1003330812
  NPD (past)
• Teel Ryan Wisdom, PHARMD

  • Pharmacist
  • Salem, MO
  • NPI 1245583566
  NPD (past)

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1952382913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 E HIGHWAY 32",
            "address_2": "PO BOX 748",
            "city": "SALEM",
            "state": "MO",
            "postal_code": "655602844",
            "telephone_number": "573-729-4091",
            "fax_number": "573-729-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 EAST HIGHWAY 8",
            "city": "STEELVILLE",
            "state": "MO",
            "postal_code": "65565",
            "telephone_number": "573-775-4666",
            "fax_number": "573-775-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN & COUNTRY SUPER MARKET INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-08",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "GOTT",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "573-729-4091",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "006587",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "200539822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "604623405",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "624623401",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Mart Pharmacy #2425",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steelville Ambulance District
• Steelville Community Services Inc.
• Steelville Healthcare LLC
• Steelville Reorganized SCH Dist R 3
• Steelville Senior Living, LLC
• Janice Weisel

• All providers in Steelville, MO
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.