PEVELY RX (NPI# 1790034064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790034064 |
| Entity Type | Organization |
| Organization Name | PEVELY RX |
| Other Organization Name | THE MEDICINE SHOPPE PHARMACY |
| Practice Address |
8640 Commercial Blvd Pevely MO 63070-1529 |
| Practice Telephone | 6364796100 |
| Practice Fax Number | 6364796101 |
| Mailing Telephone | 6364796100 |
| Mailing Fax Number | 6364796101 |
| Enumeration Date | 2012-09-02 |
| Last Update Date | 2019-03-13 |
| Authorized Official Name | JASON WANG (PRESIDENT) |
| Authorized Official Telephone | 3147538851 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
Nursing Service Providers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2012030942 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2136810 | 01 |
| Other Name | Type Code |
|---|---|
| The Medicine Shoppe Pharmacy | Doing Business As Name - Organization |
| Street Address |
8640 COMMERCIAL BLVD |
| City | PEVELY |
| State | MO |
| Zip Code | 63070-1529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184115974 | Total Access Urgent Care, PC | Clinic/Center | 1717 Madison Avenue, Washington, MO 63070 | 2018-05-29 |
| 1548702780 | Todd Wind Dds Dba Pevely Family Dentistry | Dentist | 8646 Commercial Blvd, Pevely, MO 63070 | 2016-11-04 |
| 1225224678 | Dan E Hartley Sr. | Hearing Instrument Specialist | 502 Pevely Manor, Suite 1, Pevely, MO 63070 | 2007-09-19 |
| 1215026125 | John C Druhe Dds PC | Dentist | 42 Gannon's Square, Pevely, MO 63070 | 2006-10-11 |
| 1912096827 | John Cecil Druhe | Dentist | 42 Gannon's Square, Pevely, MO 63070-0268 | 2006-10-11 |
| 1144883588 | Elite Opportunities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1753 Twelve Oaks Pl, Pevely, MO 63070-1335 | 2019-04-22 |
| 1801298682 | Tiffanie Camden | Dental Hygienist | 8546 Stone Mountain Ct, Pevely, MO 63070-1343 | 2014-09-23 |
| 1942211057 | Kelly N Uding | Physical Therapist | 1620 Highway Z, Pevely, MO 63070-1511 | 2006-08-11 |
| 1497294490 | Emily Paszkiewicz | Chiropractor | 1845 Mountain Ash Dr, Pevely, MO 63070-1917 | 2017-02-23 |
| 1760802318 | Warm Light Counseling, L.L.C. | Counselor | 8701 Woodridge Dr, Pevely, MO 63070-1939 | 2014-04-22 |
| Find all providers in zip 63070 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374629 | Curators of The University of Missouri | Pharmacy | 7115 East St. Charles Road, Columbia, MO 65202 | 2020-10-21 |
| 1376141143 | Phillips Pharmacy, LLC | Pharmacy | 7278 State Highway 14 E, Sparta, MO 65753-9345 | 2020-10-14 |
| 1013527761 | Rpcs, Inc. | Pharmacy | 18128 State Hwy 13, Branson West, MO 65737 | 2020-08-07 |
| 1205446184 | Rpcs, Inc. | Pharmacy | 200 Southtowne Blvd, Hollister, MO 65672-9610 | 2020-08-05 |
| 1912517897 | Rpcs, Inc. | Pharmacy | 1447 State Highway 248 Ste J, Branson, MO 65616-8161 | 2020-08-05 |
| 1245849801 | Rpcs Inc | Pharmacy | 163 W Old Mill Rd, Fair Grove, MO 65648-7918 | 2020-07-29 |
| 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 |
| 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.