GIDEON PHARMACY LLC (NPI# 1346718418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346718418 |
| Entity Type | Organization |
| Organization Name | GIDEON PHARMACY LLC |
| Practice Address |
111 N Main St. Gideon MO 63848 |
| Mailing Address |
2007 Independence St Cape Girardeau MO 63703-5805 |
| Practice Telephone | 5734483333 |
| Practice Fax Number | 5734483335 |
| Mailing Telephone | 5733345125 |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2018-11-07 |
| Authorized Official Name | MARK MCMULLIN (OWNER) |
| Authorized Official Telephone | 5733345125 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1053702118 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053702118 | Gideon Pharmacy LLC | Pharmacy | 111 Main Street, Gideon, MO 63848 | 2015-02-11 |
| Street Address |
111 N MAIN ST. |
| City | GIDEON |
| State | MO |
| Zip Code | 63848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184892366 | Community Wide In Home LLC | Technician | 106 Lunbeck Street, Gideon, MO 63848 | 2008-02-11 |
| 1447381694 | Overturf Health Mart | Durable Medical Equipment & Medical Supplies | Hwy 162, Gideon, MO 63848 | 2007-03-08 |
| 1255992897 | Laurell A Conder | Nurse Practitioner | 100 Main St, Gideon, MO 63848 | 2019-06-25 |
| 1124518451 | Pemiscot County Memorial Hospital | Clinic/Center | 100 S Main Street, Gideon, MO 63848 | 2018-05-11 |
| 1225565948 | Tiffany Nelson | Nurse Practitioner | 100 North Main Street, Gideon, MO 63848 | 2017-05-12 |
| 1053702118 | Gideon Pharmacy LLC | Pharmacy | 111 Main Street, Gideon, MO 63848 | 2015-02-11 |
| 1700931458 | Super D Drugs Acquisition Co. | Pharmacy | 100 Main St, Gideon, MO 63848 | 2007-01-24 |
| 1518384429 | Liza Hartman | Occupational Therapist | 400 South Main St, Gideon, MO 63848-0227 | 2014-03-28 |
| 1043223282 | Steele Family Rural Health Clinic, LLC | Family Medicine | 100 Main Street, Gideon, MO 63848-3086 | 2006-08-15 |
| 1639500572 | Micah N. Breece | Speech-Language Pathologist | 400 N Main St, Gideon, MO 63848-9186 | 2013-12-03 |
| Find all providers in zip 63848 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700931458 | Super D Drugs Acquisition Co. | Pharmacy | 100 Main St, Gideon, MO 63848 | 2007-01-24 |
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|---|---|---|---|---|
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| 1780298406 | Healthdirect Institutional Pharmacy Services, Inc. | Pharmacy | 4083 N State Highway Nn, Ozark, MO 65721-7201 | 2020-09-01 |
| 1023620838 | Tipton Pharmacy | Pharmacy | 310 Us Highway 50 W, Tipton, MO 65081-8701 | 2020-08-21 |
| 1568095313 | Auburn Pharmacy, Inc. | Pharmacy | 1103 S 169 Hwy, Smithville, MO 64089 | 2020-02-20 |
| 1780229690 | Dalpoas Group Inc | Pharmacy | 4245 Forest Park Ave Ste B, Saint Louis, MO 63108-2810 | 2019-11-14 |
| 1053953109 | Summers Pharmacy of Slater, LLC | Pharmacy | 102 E Maple St, Slater, MO 65349-1539 | 2019-10-10 |
| 1316594328 | Legacy Drugstore LLC | Pharmacy | 13000 Veterans Memorial Pkwy Ste A, Wright City, MO 63390-1012 | 2019-08-23 |
| 1972158673 | Hils Pharmacy Salisbury LLC | Pharmacy | 501 E. 24 Hwy Ste A, Salisbury, MO 65281 | 2019-08-08 |
| 1700342888 | Battlefield Pharmacy | Pharmacy | 4062 W Republic Rd, Battlefield, MO 65619-7108 | 2019-02-14 |
| 1548733769 | Guardian Pharmacy of St. Louis, LLC | Pharmacy | 926 S Highway Dr, Fenton, MO 63026-2023 | 2019-01-10 |
| 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.