PRESCRIPTION DRUG STORE LLC (NPI# 1861645509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861645509 |
| Entity Type | Organization |
| Organization Name | PRESCRIPTION DRUG STORE LLC |
| Other Organization Name | PRESCRIPTION DRUG STORE |
| Practice Address |
308 E Main St Hayti MO 63851-1639 |
| Practice Telephone | 5733590008 |
| Practice Fax Number | 5733596376 |
| Mailing Telephone | 5733590008 |
| Mailing Fax Number | 5733596376 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2011-04-05 |
| Authorized Official Name | KRISTEN HALFORD (MANAGER PHARM D) |
| Authorized Official Telephone | 5733590008 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRESCRIPTION DRUG STORE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 620126110 | 05 |
| Other Name | Type Code |
|---|---|
| Prescription Drug Store | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497790968 | Prescription Drug Store LLC | Pharmacy | 410 Ward Ave, Caruthersville, MO 63830 | 2006-06-18 |
| 1952554693 | Prescription Drug Store LLC | Durable Medical Equipment & Medical Supplies | 410 Ward Ave, Caruthersville, MO 63830-1451 | 2008-10-28 |
| 1235175100 | Prescription Drug Store LLC | Pharmacy | 308 E Main St, Hayti, MO 63851-1639 | 2006-06-21 |
| Street Address |
308 E MAIN ST |
| City | HAYTI |
| State | MO |
| Zip Code | 63851-1639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215927090 | Richard Keith Campbell | Pharmacist | 308 E Main St, Hayti, MO 63851-1639 | 2005-10-24 |
| 1962650127 | Kristen Renee Halford | Legal Medicine | 308 E Main St, Hayti, MO 63851-1639 | 2008-08-29 |
| 1235175100 | Prescription Drug Store LLC | Pharmacy | 308 E Main St, Hayti, MO 63851-1639 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619518032 | Mcpherson Medical & Diagnostic, LLC | Clinic/Center | 110 Us Hwy 61 N, Ste B, Hayti, MO 63851 | 2019-10-07 |
| 1225525744 | Roosevelt Dismukes Jr. | Behavior Technician | 500 Highway 61 N J, Hayti, MO 63851 | 2018-04-19 |
| 1417461625 | Rivian Ricole Hill | Recreation Therapist | 501 Highway 61 J N, Hayti, MO 63851 | 2017-11-27 |
| 1750761169 | Lindsey Moody | Case Manager/Care Coordinator | 909 East Reed Street, Hayti, MO 63851 | 2015-06-02 |
| 1710375811 | Jeremy Winstead | Technician, Other | 500 Highway J North, Hayti, MO 63851 | 2014-12-26 |
| 1164810206 | Teresa Ward | Registered Nurse | 589 Hwy J, Hayti, MO 63851 | 2014-12-23 |
| 1780081463 | Heather Brown | Case Manager/Care Coordinator | 581 Hwy J, Hayti, MO 63851 | 2014-11-25 |
| 1184029241 | Cheryl Byrd | Case Manager/Care Coordinator | 581 Highway J, Hayti, MO 63851 | 2014-10-30 |
| 1114320827 | Toshia Russell | Licensed Practical Nurse | 579 North Highway J, Hayti, MO 63851 | 2014-10-08 |
| 1992104301 | Lora Hawes | Case Manager/Care Coordinator | 581 Hwy J North, Hayti, MO 63851 | 2014-08-21 |
| Find all providers in zip 63851 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811016249 | Extended Medical, Inc | Durable Medical Equipment & Medical Supplies | 110 North Highway J, Hayti, MO 63851 | 2007-03-28 |
| 1952770083 | Carelink Extended LLC | Durable Medical Equipment & Medical Supplies | 206 W Washington St, Hayti, MO 63851-1520 | 2015-09-18 |
| 1710093778 | Pemiscot County Memorial Hospital | Durable Medical Equipment & Medical Supplies | 946 E Reed St, Hayti, MO 63851-1243 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1194339515 | Neighborhood Ltc Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 4240 Blue Ridge Blvd Ste 100, Kansas City, MO 64133-1703 | 2020-09-02 |
| 1497368773 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1430 Olive St Ste P, Saint Louis, MO 63103-2360 | 2020-08-26 |
| 1124630546 | Midwest Respiratory Care Inc | Durable Medical Equipment & Medical Supplies | 1840 N Commerce Dr, Nixa, MO 65714-7603 | 2020-08-18 |
| 1497373989 | Taylor Made Walk In Tubs LLC | Durable Medical Equipment & Medical Supplies | 420 Nichols Rd, Kansas City, MO 64112-2005 | 2020-07-10 |
| 1487277687 | Medline Industries, Inc. | Durable Medical Equipment & Medical Supplies | 1401 Universal Ave, Kansas City, MO 64120-2139 | 2020-05-21 |
| 1942822549 | Axes Physical Therapy, LLC | Durable Medical Equipment & Medical Supplies | 213 Village Square Shop Ctr, Hazelwood, MO 63042-1838 | 2020-05-18 |
| 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.