MEDLEY PHARMACY INC (NPI# 1427606912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427606912 |
| Entity Type | Organization |
| Organization Name | MEDLEY PHARMACY INC |
| Practice Address |
1024 S Bishop Ave Rolla MO 65401-4416 |
| Mailing Address |
Po Box 528 Cuba MO 65453-0528 |
| Practice Telephone | 5734664468 |
| Mailing Telephone | 5738850885 |
| Mailing Fax Number | 5736770567 |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |
| Authorized Official Name | JANNEL FLORA (DIRECTOR OF PHARMACY OPERATIONS) |
| Authorized Official Telephone | 5738850885 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| Sinks Pharmacy Select LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922252634 | Medley Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 733 W Springfield Ave, Gerald, MO 63037-2135 | 2008-11-07 |
| 1679601421 | Medley Pharmacy Inc | Pharmacy | 503 W Main, Steelville, MO 65565 | 2007-03-02 |
| 1750447637 | Medley Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 200 N Franklin St, Cuba, MO 65453-1705 | 2006-12-28 |
| 1891885687 | Medley Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 601 E Hwy 28, Owensville, MO 65066 | 2006-10-13 |
| 1700976594 | Medley Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 206 S Alvarado Ave Ste D, Belle, MO 65013-2544 | 2006-10-13 |
| 1740385608 | Medley Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1100b S Bishop Ave, Rolla, MO 65401-4418 | 2006-09-14 |
| 1972607935 | Medley Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1375 E 10th St Ste B, Rolla, MO 65401-3591 | 2006-09-12 |
| 1538158274 | Medley Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 606 Highway 63 S, Vienna, MO 65582-8101 | 2005-10-16 |
| 1356819890 | Medley Pharmacy Inc | Pharmacy | 606 Highway 63 S, Vienna, MO 65582-8101 | 2018-11-02 |
| 1346717097 | Medley Pharmacy Inc | Pharmacy | 601 E. Highway 28, Owensville, MO 65066 | 2018-10-31 |
| Street Address |
1024 S BISHOP AVE |
| City | ROLLA |
| State | MO |
| Zip Code | 65401-4416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700435104 | Medley Pharmacy Inc. | Pharmacy | 1024 S Bishop Ave, Rolla, MO 65401-4416 | 2019-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639645591 | Samantha Jo Mitchell | Pharmacist | 1375 E 10th St Suite B, Rolla, MO 65401 | 2018-10-18 |
| 1427567726 | Gerry Wade Funkhouser Jr. | Counselor | 103 W 10th St, Rolla, MO 65401 | 2017-09-29 |
| 1366967960 | Shana Hintz Wisniewski | Social Worker | 1000 W. 10th St., Rolla, MO 65401 | 2017-08-04 |
| 1174066559 | Tabitha Hundt | Counselor | 1011 Cypress Dr, Rolla, MO 65401 | 2016-12-02 |
| 1841742855 | Alpha Assisted Living LLC | Assisted Living Facility | 13450 Cr 7040, 803 E 12th St, Rolla, MO 65401 | 2016-10-26 |
| 1275916884 | Elizabeth Zersen | Occupational Therapist | 2053 Vienna Rd, Rolla, MO 65401 | 2015-06-30 |
| 1386047025 | Becky L Witham | Nurse Practitioner | 1060 W 10th Street, Rolla, MO 65401 | 2014-10-08 |
| 1114326121 | Summer Adey | Licensed Practical Nurse | 13750 State Route F, Rolla, MO 65401 | 2014-08-14 |
| 1518303296 | Leaetta Mildred Gardner | Nursing Facility/Intermediate Care Facility | 13450 County Road 7040, Rolla, MO 65401 | 2013-05-21 |
| 1316282064 | Susan Peitz Gruener | Occupational Therapy Assistant | 1800 White Column Road, Rolla, MO 65401 | 2012-12-06 |
| Find all providers in zip 65401 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235140898 | Rolla Drug Inc | Pharmacy | 117 Main Ave E, Rolla, ND 58367-7124 | 2006-08-10 |
| 1700435104 | Medley Pharmacy Inc. | Pharmacy | 1024 S Bishop Ave, Rolla, MO 65401-4416 | 2019-09-09 |
| 1700906591 | Sinks Pharmacy South | Pharmacy | 1100b S Bishop Ave, Rolla, MO 65401-4418 | 2007-03-29 |
| 1225069347 | K Mart Corp | Pharmacy | 1003 S Bishop Ave, Rolla, MO 65401-4437 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506437 | E Health Pharmacy, LLC | Pharmacy | 411d Northview Rd, Nixa, MO 65714-8679 | 2020-10-26 |
| 1750994869 | Script Partner Pharmacy LLC | Pharmacy | 100 Chesterfield Bus Pkwy Ste 279, Chesterfield, MO 63005-1271 | 2020-08-28 |
| 1821600545 | Debbie S Pharmacy LLC | Pharmacy | 815 Hazelwest Dr Ste 100, Hazelwood, MO 63042-1762 | 2020-08-24 |
| 1689285082 | Logan & Seiler Inc | Pharmacy | 102 Hospitality Drive, Suite B, Sikeston, MO 63801 | 2020-08-11 |
| 1023626389 | Lemonaid Community Pharmacy, Inc | Pharmacy | 7580 Watson Rd, Saint Louis, MO 63119-4409 | 2020-07-22 |
| 1689207870 | Washington University Cancer Center Pharmacy - North County | Pharmacy | 1225 Graham Rd Fl 1, Florissant, MO 63031-8012 | 2020-02-17 |
| 1942847413 | Southeast Hospital | Pharmacy | 2600 E. Main Street, Suite 113, Jackson, MO 63755 | 2019-12-04 |
| 1720624323 | Toney Drug & Wellness, LLC | Pharmacy | #1 Hals Plaza Dr, Piedmont, MO 63957 | 2019-11-19 |
| 1013479716 | Cerner Health Connections, Inc. | Pharmacy | 1403 Hampton Avenue, St. Louis, MO 63139 | 2019-04-02 |
| 1962973743 | Freeze Pharmacy LLC | Pharmacy | 105 N Grand St Ste 1, Greenfield, MO 65661-8198 | 2018-12-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MEDLEY PHARMACY INC.
| 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.