Organization Active NPI

Orchard Hills Pharmacy Inc

Doing business as Orchard Hills Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Springfield, MO
National Provider Identifier
1992972780
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
006448 Issued in MO
Legal business name
ORCHARD HILLS PHARMACY INC
Doing business as
Orchard Hills Pharmacy
Practice address
3816A W Chestnut Expy
Springfield, MO 65802-5500
Phone
(417) 868-8288
Fax
(417) 868-8248
NPI assigned
May 12, 2008
Last updated
May 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Authorized official

Name
Mr. Jeffrey J Goetzinger, R.PH.
Title
Owner/Pharmacist
Phone
(417) 868-8288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 006448 MO Primary

Addresses

Primary practice location

3816A W Chestnut Expy
Springfield, MO 65802-5500

Mailing address

3816A W Chestnut Expy
Springfield, MO 65802-5500
Phone (417) 868-8288

Other identifiers 1

IdentifierTypeStateIssuer
623826906MedicaidMO

Other names 1

  • Orchard Hills Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

3816A W Chestnut Expy
Springfield, MO 65802
Phone (417) 868-8288

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": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1992972780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816A W CHESTNUT EXPY",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658025500",
            "telephone_number": "417-868-8288",
            "fax_number": "417-868-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816A W CHESTNUT EXPY",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658025500",
            "telephone_number": "417-868-8288",
            "fax_number": "417-868-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHARD HILLS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "GOETZINGER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "417-868-8288",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "006448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "623826906",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orchard Hills Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.