Missouri Ltc Pharmacy Llc, NPI 1003327537
Long Term Care Pharmacy in Brookline, MO, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1003327537 |
| NPI Entity Type | Organization |
| Provider Name | Missouri Ltc Pharmacy Llc |
| Subpart of Organization | Missouri Ltc Pharmacy Llc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 6129 West Us Highway 60, Brookline, MO, US |
| Provider Mailing Address | 6129 W Us Highway 60, Brookline, MO, US, 656199441 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | RPH Janice S Ceriotti |
| Official Position | DIRECTOR OF OPERAITONS |
| Phone | 314-690-4500 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Long Term Care Pharmacy |
| Classification | |
| Group | |
| License No. | 2017040311 |
| License State | MO |
| Description | A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 242178407 | AR | MEDICAID | 05 |
| 600049471 | MO | MEDICAID | 05 |
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