NPIMap

Organization Active NPI

Wilkare Pharmacy LLC

Doing business as Malden Pharmacy & Home Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Malden, MO
National Provider Identifier
1952847246
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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
Fax
(573) 276-2134
NPI assigned
Jan 11, 2017
Last updated
Mar 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Phillip Keith Wilkins Jr.NPI 1962131938
Title
Owner/Pharmacist
Phone
(573) 276-3784

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Community/Retail Pharmacy 3336C0003X 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 names 1

  • Malden Pharmacy & Home Medical Equipment Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170308001699 MO Part B Supplier - Pharmacy 8527342641 Practice locations: Malden, MO
O20170522001566 MO DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered PharmacistDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 8527342641 Practice locations: Malden, MO

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.

Practitioners & affiliated clinicians

Practitioners 1

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": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1952847246",
    "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",
            "fax_number": "573-276-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "573-276-3784",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Mar 14, 2024; 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.