DEJACE ENTERPRISES INC (NPI# 1861488660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861488660 |
| Entity Type | Organization |
| Organization Name | DEJACE ENTERPRISES INC |
| Practice Address |
106a Broadway St Elsberry MO 63343-1233 |
| Practice Telephone | 5738982550 |
| Practice Fax Number | 5738985730 |
| Mailing Telephone | 5738982550 |
| Mailing Fax Number | 5738985730 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2020-02-14 |
| Authorized Official Name | ANDREW OSTERKAMP (PHARMACIST) |
| Authorized Official Telephone | 5738982550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
Nursing Service Providers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 029059 | MO | Suppliers |
| N | 333600000X | Pharmacy | 029059 | MO | Suppliers |
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 601684608 | 05 | |
| MO | 62184604 | 05 |
| Other Name | Type Code |
|---|---|
| Elsberry Pharmacy | Doing Business As Name - Organization |
| Street Address |
106A BROADWAY ST |
| City | ELSBERRY |
| State | MO |
| Zip Code | 63343-1233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831225259 | Elsberry Missouri Health Care Center, Inc. | Skilled Nursing Facility | 1827 Hwy B, Elsberry, MO 63343 | 2007-02-27 |
| 1861527426 | Jessica Dawn Spoonster | Speech-Language Pathologist | 138 Tomahawk, Elsberry R-ii, Elsberry, MO 63343-0106 | 2007-02-23 |
| 1265572556 | Lincoln County R2 School District | Physical Therapist | 138 Tomahawk Dr, Elsberry, MO 63343-1151 | 2007-02-07 |
| 1720408198 | Andrew Osterkamp | Pharmacist | 302 Broadway St, Elsberry, MO 63343-1233 | 2014-04-23 |
| 1316257199 | Jerry W Callahan | Pharmacist | 106 Broadway St Ste A, Elsberry, MO 63343-1345 | 2010-10-14 |
| 1003140328 | Carol Berger | Nurse Practitioner | 106 Broadway St, Suite 3c, Elsberry, MO 63343-1345 | 2009-09-21 |
| 1972161636 | Jessica Suzanne Showen | Pharmacist | 106 Broadway St Ste A, Elsberry, MO 63343-1345 | 2019-05-29 |
| 1447738497 | Dmitri Postnov | Pharmacist | 106 Broadway St, Elsberry, MO 63343-1345 | 2018-08-01 |
| 1912417569 | Kristen Herina | Nurse Practitioner | 106 Broadway St, Elsberry, MO 63343-1345 | 2017-10-10 |
| 1578969366 | Mercy Hospital Lincoln | Clinic/Center | 106 Broadway St, ,suite 3c, Elsberry, MO 63343-1345 | 2014-11-06 |
| Find all providers in zip 63343 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on DEJACE ENTERPRISES 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.