FICOM (NPI# 1568945103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568945103 |
| Entity Type | Organization |
| Organization Name | FICOM |
| Practice Address |
1308 North Glenstone Avenue Springfield MO 65802 |
| Mailing Address |
200 Rittenhouse Circle East Building Ste 5 Bristol PA 19007 |
| Practice Telephone | 8885900808 |
| Practice Fax Number | 8667404689 |
| Mailing Telephone | 8885900808 |
| Mailing Fax Number | 8667404689 |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |
| Authorized Official Name | MACKENZIE HAHN (NCPDP COORDINATOR) |
| Authorized Official Telephone | 8885900808 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | FICOM CORPORATION | 2280 Micro Place, Escondido, CA 92029 |
| Iowa Business Entities | FICOMPLI, LLC | 2311 Se Clover Ridge Ct, Ankeny, IA 50021 |
| Street Address |
1308 NORTH GLENSTONE AVENUE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454549 | Andrea Strauch | Counselor | 2024 W Chestnut Expressway Way, Springfield, MO 65802 | 2020-10-12 |
| 1962968867 | Chad Michael Linck | Specialist/Technologist | 2125 N Glenstone Ave, Springfield, MO 65802 | 2019-02-15 |
| 1790254647 | Meds To Live By | Pharmacist | 1134 N. Scarlett Way, Springfield, MO 65802 | 2018-11-21 |
| 1982194775 | Karla Caballero | Marriage & Family Therapist | 8627 Montant Fort Way, 145, Sprinfield, MO 65802 | 2018-05-16 |
| 1780191809 | Tiffany Chawntay Coryell | Pharmacist | 1134 North Scarlett Way, Springfield, MO 65802 | 2018-01-10 |
| 1083134902 | Trevor Conner | Family Medicine | 1423 N Jefferson Ave, B100, Springfield, MO 65802 | 2017-06-21 |
| 1407389596 | Medical Mile Imaging | Radiology | 3905 E Windsmore Dr, Springfield, MO 65802 | 2017-04-06 |
| 1346619103 | Jill A Knight | Occupational Therapist | 1601 E. Pythian, Green Valley State School, Springfield, MO 65802 | 2015-09-22 |
| 1447653258 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3720 E Sunshine St, Springfield, MO 65802 | 2014-10-07 |
| 1134538952 | Susan Palmer | Pharmacist | 1260 E. St. Louis St., Springfield, MO 65802 | 2014-08-06 |
| Find all providers in zip 65802 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| 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 |
|---|---|---|---|---|
| 1710516901 | Tennessee Oncology Pharmacy Dispensing | Non-Pharmacy Dispensing Site | 504 22nd Ave E, Springfield, TN 37172-3754 | 2020-04-08 |
| 1811131956 | U.S. Optical | Non-Pharmacy Dispensing Site | 2346 S Campbell Ave, Springfield, MO 65807-2972 | 2009-04-20 |
| 1225541188 | Springfield Clinic LLP | Non-Pharmacy Dispensing Site | 2200 Wabash Ave, Springfield, IL 62704-5352 | 2017-11-14 |
| 1669985602 | Springfield Clinic LLP | Non-Pharmacy Dispensing Site | 1025 S 6th St, Springfield, IL 62703-2403 | 2017-11-13 |
| 1932511870 | Patient First Pennsylvania Medical Group | Non-Pharmacy Dispensing Site | 417 Baltimore Pike, Springfield, PA 19064-3810 | 2014-05-27 |
| 1659713345 | Peace Health | Non-Pharmacy Dispensing Site | 3333 Riverbend Dr, Springfield, OR 97477-8800 | 2013-07-23 |
| 1225473770 | Mayo Clinic Health System-southwest Minnesota Region | Non-Pharmacy Dispensing Site | 625 N Jackson Ave, Springfield, MN 56087-1714 | 2013-05-09 |
| 1528388485 | Springfield Health Care Center, Inc. | Non-Pharmacy Dispensing Site | 2624 Lexington Ave, 200, Springfield, OH 45505-2607 | 2010-06-02 |
| 1104062371 | Willamette Community Medical Group, LLC | Non-Pharmacy Dispensing Site | 5781 Main St, Springfield, OR 97478-5426 | 2008-12-18 |
| 1023069473 | Planned Parenthood League of Ma | Non-Pharmacy Dispensing Site | Karen Loeb Lifford Md, 3550 Main St Ste 201, Springfield, MA 01107 | 2006-05-12 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65802 |
Please comment or provide details below to improve the information on FICOM.
| 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.