PRATT'S REXALL DRUGS, INC (NPI# 1174622278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174622278 |
Entity Type | Organization |
Organization Name | PRATT'S REXALL DRUGS, INC |
Other Organization Name | PRATT'S PHARMACY |
Practice Address |
100 Dwayne Von Behren Dr New Haven MO 63068-3207 |
Practice Telephone | 5732373321 |
Practice Fax Number | 5732372005 |
Mailing Telephone | 5732373321 |
Mailing Fax Number | 5732372005 |
Enumeration Date | 2006-09-22 |
Last Update Date | 2016-08-09 |
Authorized Official Name | MR. CRAIG NEAL WILLIMANN (PRESIDENT) |
Authorized Official Telephone | 5732373321 |
Authorized Official Credential | R. PH. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 314000000X | Skilled Nursing Facility | 000129 | MO | Nursing & Custodial Care Facilities |
N | 310400000X | Assisted Living Facility | 000129 | MO | Nursing & Custodial Care Facilities |
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
129 | MO | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 620447003 | 05 | |
MO | 600447007 | 05 |
Other Name | Type Code |
---|---|
Pratt's Pharmacy | Doing Business As Name - Organization |
Street Address |
100 DWAYNE VON BEHREN DR |
City | NEW HAVEN |
State | MO |
Zip Code | 63068-3207 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376013334 | Charles J Tritch | Physical Therapy Assistant | 9503 Mo-100, New Haven, MO 63068 | 2018-12-03 |
1982845442 | Barbara Eggert Dennis | Occupational Therapist | 9503 Hwy 100, New Haven Care Center Inc, New Haven, MO 63068 | 2009-03-13 |
1962669283 | Larry R Ficklin | Dentist | 104 Miller St, New Haven, MO 63068-1143 | 2008-05-22 |
1306975438 | Alternatives Care System, Inc. | Assisted Living Facility | 101 Arizona St, New Haven, MO 63068-1210 | 2007-03-05 |
1528511029 | Shawnda Jones | Occupational Therapy Assistant | 204 Macarthur St, New Haven, MO 63068-1262 | 2016-08-01 |
1497728562 | Thomas E Davis | Family Medicine | 9513 Highway 100, New Haven, MO 63068-1300 | 2006-02-09 |
1760479125 | New Haven Care Center, Inc | Skilled Nursing Facility | 9503 Highway 100, New Haven, MO 63068-1300 | 2005-09-30 |
1558806356 | New Haven Hospice Care Inc | Hospice Care, Community Based | 9503 Highway 100, Suite 101, New Haven, MO 63068-1300 | 2017-01-03 |
1174719215 | Patients First Health Care LLC | Family Medicine | 9513 Highway 100, New Haven, MO 63068-1300 | 2007-09-21 |
1992918114 | Barbara E King | Nurse Practitioner | 9513 Highway 100, New Haven, MO 63068-1300 | 2007-05-07 |
Find all providers in zip 63068 |
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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1689964272 | Hancock Pharmacy At Long Wharf Inc | Pharmacy | 1 Long Wharf Dr Ste 116, New Haven, CT 06511-5991 | 2011-04-15 |
1578666202 | Hook Superx LLC | Pharmacy | 115 State Road 930 E, New Haven, IN 46774-1359 | 2006-09-07 |
1962982652 | New Haven Pharmacy LLC | Pharmacy | 307 5th St, New Haven, WV 25265-4100 | 2018-08-21 |
1295032449 | Downriver Community Services Inc | Pharmacy | 58144 Gratiot Ave, New Haven, MI 48048 | 2011-02-24 |
1629396403 | Hancock Pharmacy Vii LLC | Pharmacy | 306 Grand Ave, New Haven, CT 06513-3730 | 2010-05-04 |
1518172451 | Cornell Scott-hill Health Corporation | Pharmacy | 428 Columbus Ave, New Haven, CT 06519 | 2007-05-14 |
1750423471 | Cornell Scott Hill Health Corporation | Pharmacy | 428 Columbus Ave, New Haven, CT 06519-1233 | 2007-02-12 |
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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 |
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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.