NPIMap

Organization Active NPI

Tim Mitchell Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Neosho, MO
National Provider Identifier
1952440422
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TIM MITCHELL MEDICAL, INC.
Doing business as
Family Pharmacy of Neosho
Practice address
1000 S Neosho Blvd
Neosho, MO 64850-2007
Phone
(417) 451-9501
Fax
(417) 451-9594
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Mr. Tim Mitchell, R.PH.
Title
Owner
Phone
(417) 451-9501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1000 S Neosho Blvd
Neosho, MO 64850-2007

Mailing address

1009 S Neosho Blvd
Neosho, MO 64850-2008
Phone (417) 455-1883

Other names 1

  • Family Pharmacy of Neosho Doing business as

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

1000 S Neosho Blvd
Neosho, MO 64850
Phone (417) 451-2951

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1952440422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 S NEOSHO BLVD",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648502008",
            "telephone_number": "417-455-1883",
            "fax_number": "417-455-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S NEOSHO BLVD",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648502007",
            "telephone_number": "417-451-9501",
            "fax_number": "417-451-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM MITCHELL MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-451-9501",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Pharmacy of Neosho",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Neosho, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.