Organization Active NPI

Kirkwood Drug Co.

  • Community/Retail Pharmacy
  • Kirkwood, MO
National Provider Identifier
1972697381
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
KIRKWOOD DRUG CO.
Practice address
101 W Argonne Dr
Kirkwood, MO 63122-4201
Phone
(314) 965-3220
Fax
(314) 965-3223
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Jack Bishop, RPH
Title
Owner Pharmacist
Phone
(314) 965-3320

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 004373 MO
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

101 W Argonne Dr
Kirkwood, MO 63122-4201

Mailing address

101 W Argonne Dr
Kirkwood, MO 63122-4201

Other identifiers 1

IdentifierTypeStateIssuer
2600092OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • Medicine Shoppe Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1972697381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W ARGONNE DR",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631224201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W ARGONNE DR",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631224201",
            "telephone_number": "314-965-3220",
            "fax_number": "314-965-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRKWOOD DRUG CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "314-965-3320",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MO",
            "license": "004373",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2600092",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirkwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.