MEDLEY PHARMACY (NPI# 1447728985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447728985 |
| Entity Type | Organization |
| Organization Name | MEDLEY PHARMACY |
| Practice Address |
200 N Franklin St Cuba MO 65453-1705 |
| Mailing Address |
Po Box 528 Cuba MO 65453-0528 |
| Practice Telephone | 5738857212 |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2020-05-05 |
| Authorized Official Name | SANDRA MITCHELL (PRESIDENT) |
| Authorized Official Telephone | 5738850885 |
| Authorized Official Credential | PHARM D |
| 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 | 600245401 | 05 |
| Other Name | Type Code |
|---|---|
| LTC THE TOWNE PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053431726 | Medley Pharmacy | Durable Medical Equipment & Medical Supplies | 601 E. Hwy. 28, Owensville, MO 65066-0528 | 2007-03-29 |
| 1386112829 | Medley Pharmacy | Pharmacy | 1100b S Bishop Ave, Rolla, MO 65401-4418 | 2018-11-02 |
| 1144798679 | Medley Pharmacy | Pharmacy | 1375 E 10th St Ste B, Rolla, MO 65401-3591 | 2018-11-02 |
| Street Address |
200 N FRANKLIN ST |
| City | CUBA |
| State | MO |
| Zip Code | 65453-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750447637 | Medley Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 200 N Franklin St, Cuba, MO 65453-1705 | 2006-12-28 |
| 1528676004 | Shayla M Farris | Pharmacist | 200 N Franklin St, Cuba, MO 65453-1705 | 2020-07-21 |
| 1104099290 | John Wayne Hewkin | Pharmacist | 200 N Franklin St, Cuba, MO 65453-1705 | 2008-04-09 |
| 1881815983 | Towne Pharmacy | Durable Medical Equipment & Medical Supplies | 200 N Franklin St, Cuba, MO 65453-1705 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508365693 | Mary Frances Tatkenhorst | Counselor | 1200 Martin St Unit 2, Cuba, MO 65453 | 2018-02-05 |
| 1194112946 | Tamara Cooks | Pediatrics | 102 Ozark Dr Ste B, Cuba, MO 65453 | 2015-04-20 |
| 1033406434 | Sj Black Investments LLC | Chiropractor | 501a South Franklin Street, Cuba, MO 65453 | 2011-07-06 |
| 1427209667 | Monica Hutchison | Counselor | 1373 Windle Road, Cuba, MO 65453 | 2008-10-07 |
| 1164612818 | Healthnet Regional Center of Cuba, Inc.. | Clinic/Center | 108 Buchanan, Cuba, MO 65453 | 2007-07-30 |
| 1962523779 | Richard A Money | Social Worker | Stubblefield Care Ctr, 5349 Hwy P, Cuba, MO 65453 | 2007-04-02 |
| 1841338936 | Christopher C. Conger | Family Medicine | 105n Lawrence, Cuba, MO 65453 | 2007-02-02 |
| 1205989670 | Frank Puc | Pediatrics | 4400 W 95th Street, Suite 104, Oak Lawn, IL 65453 | 2007-01-19 |
| 1184731671 | Sandy Hagene | Nurse Practitioner | 102 Ozark Dr, Cuba, MO 65453 | 2006-08-23 |
| 1467643502 | Victorian Manor of Cuba Inc | Assisted Living Facility | 901 Hwy Dd, Cuba, MO 65453-0901 | 2007-08-05 |
| Find all providers in zip 65453 | ||||
| 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 |
|---|---|---|---|---|
| 1265033534 | Good Graces, LLC | Pharmacy | 857 E Main Street, Ste 3 - 5, Willow Springs, MO 65793 | 2020-11-03 |
| 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.