MEDLEY PHARMACY INC. (NPI# 1093058034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093058034 |
Entity Type | Organization |
Organization Name | MEDLEY PHARMACY INC. |
Other Organization Name | SINKS PHARMACY |
Practice Address |
2322 Hwy 17 Iberia MO 65486-0000 |
Mailing Address |
Po Box 528 Owensville MO 65066-0528 |
Practice Telephone | 5737932050 |
Practice Fax Number | 5737932075 |
Mailing Telephone | 5734373440 |
Mailing Fax Number | 5734376909 |
Enumeration Date | 2013-03-28 |
Last Update Date | 2013-10-11 |
Authorized Official Name | SANDRA K MITCHELL (PRESIDENT) |
Authorized Official Telephone | 5734373440 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332B00000X | Durable Medical Equipment & Medical Supplies | MO | Suppliers | |
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
MO | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 600005037 | 05 |
Other Name | Type Code |
---|---|
Sinks Pharmacy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346687845 | Medley Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 1435 N. Main St., St. Clair, MO 63077 | 2013-05-24 |
1871807982 | Medley Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 733 W Springfield Rd, Gerald, MO 63037 | 2010-07-30 |
1477867976 | Medley Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 606 E. Highway 63, Vienna, MO 65582 | 2010-07-27 |
1700435104 | Medley Pharmacy Inc. | Pharmacy | 1024 S Bishop Ave, Rolla, MO 65401-4416 | 2019-09-09 |
Street Address |
2322 HWY 17 |
City | IBERIA |
State | MO |
Zip Code | 65486-0000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467571968 | Carl Sylvester Roberts Jr. | Family Medicine | 101e Main St, Iberia, MO 65486 | 2007-03-28 |
1104853050 | Margaret C Hart | Nurse Practitioner | 2333 Highway 17, Iberia, MO 65486 | 2006-06-27 |
1750402194 | Iberia R-v School District | Local Education Agency (LEA) | 201 Pemberton Dr, Iberia, MO 65486-0156 | 2007-04-03 |
1922052091 | Steven Edwin Reenan | Counselor | 986 Highway A, Iberia, MO 65486-8242 | 2006-05-21 |
1245660182 | Kyle Nichols | Pharmacist | 2322 Highway 17, Iberia, MO 65486-9115 | 2013-11-13 |
1700332020 | Brian Herzog | Music Therapist | 451 Tavern Creek Rd, Iberia, MO 65486-9193 | 2016-08-28 |
1952300923 | Clemens E. Haggerty | General Practice | 2333 Highway 17, Iberia, MO 65486-9331 | 2005-07-20 |
1841749660 | Chelsie Deardeuff | Nurse Practitioner | 2333 Highway 17, Iberia, MO 65486-9331 | 2016-09-22 |
1891018784 | Lake Regional Health System | Clinic/Center | 2333 Highway 17, Iberia, MO 65486-9331 | 2010-03-05 |
1164515029 | Gary N Thomsen | Family Medicine | 2333 Highway 17, Iberia, MO 65486-9331 | 2006-10-02 |
Find all providers in zip 65486 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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1760005219 | Meta Pharmacy Solutions | Pharmacy | 108 Triad Ctr W, O Fallon, MO 63366-7541 | 2020-05-19 |
1437778172 | Harps Food Stores, Inc | Pharmacy | 707 Specialty Dr, Dexter, MO 63841-2718 | 2020-04-13 |
1013540038 | Auburn Pharmacy Inc | Pharmacy | 810 W 35th St Ste 101, Higginsville, MO 64037-1865 | 2020-02-18 |
1801428495 | Scpg Missouri LLC | Pharmacy | 501 South Madison Ave, Suite S, Webb City, MO 64870 | 2020-02-11 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.