NPIMap

Organization Active NPI

Summers Pharmacy

  • Long Term Care Pharmacy
  • Butler, MO
National Provider Identifier
1972139723
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
SUMMERS PHARMACY
Practice address
913 W Fort Scott St
Butler, MO 64730-1204
Phone
(660) 679-5002
NPI assigned
Mar 12, 2020
Organization subpart
Yes
Parent organization
SUMMERS PHARMACY ENTERPRISESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Authorized official

Name
Jennifer C Sperry
Title
Manager
Phone
(660) 383-1910

Specialties & licenses 1

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

Addresses

Primary practice location

913 W Fort Scott St
Butler, MO 64730-1204

Mailing address

605 Pawnee St
Clinton, MO 64735-2757
Phone (660) 383-1910

Other identifiers 1

IdentifierTypeStateIssuer
300022539MedicaidMO

Other names 2

  • Summers Pharmacy #3 Doing business as
  • Summers Pharmacy of Butler - Long-Term Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Summers Pharmacy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 4

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": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1972139723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 PAWNEE ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352757",
            "telephone_number": "660-383-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 W FORT SCOTT ST",
            "city": "BUTLER",
            "state": "MO",
            "postal_code": "647301204",
            "telephone_number": "660-679-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERS PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMERS PHARMACY ENTERPRISES",
        "enumeration_date": "2020-03-12",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "SPERRY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "660-383-1910"
    },
    "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": "300022539",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summers Pharmacy #3",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Summers Pharmacy of Butler - Long-Term Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Butler, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.