SEMO DRUG OF KENNETT - NPI 1053514356 - Pharmacy in Kennett, MO

Q: What is Semo Drug Of Kennett's NPI number?

The NPI number for Semo Drug Of Kennett is 1053514356. It was assigned to this organization in the NPPES registry on June 6, 2007.

Q: What is Semo Drug Of Kennett's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

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About Semo Drug Of Kennett NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEMO DRUG OF KENNETT (NPI 1053514356) is a healthcare organization registered as a pharmacy in Kennett, Missouri and active in the NPI registry since June 2007. The organization lists Tyson Wallace, Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1053514356

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameSEMO DRUG OF KENNETT

Location Address1312 1ST STKennett, MO 63857-2526

Mailing Address1312 1st StKennett, MO 63857-2526 · (573) 888-8880 · Fax (573) 888-3889

Phone(573) 888-8880

Fax(573) 888-3889

Organization SubpartNo

Authorized OfficialTyson WallacePharmacy Manager · (573) 888-8880

Enumeration DateJune 6, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1053514356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

1312 1ST ST, Kennett, MO 63857

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Other Identifiers 1

Medicaid858466006MO

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERESITA I MANUBAY MD

Pediatrics

1312 1ST ST
KENNETT, MO 63857

Dunklin County (573) 888-1224

SHANNON M SIKORSKI FNP-BC

Nurse Practitioner (Family)

1312 1ST ST
KENNETT, MO 63857

Dunklin County (573) 717-1080

TEODORO A MANUBAY M.D.

Specialist

1312 1ST ST
KENNETT, MO 63857

Dunklin County (573) 888-9823

KENNETT HMA LLC

Clinic/Center (Rural Health)

1312 1ST ST
KENNETT, MO 63857

Dunklin County (573) 717-1080

KENNETT HMA, LLC

Pediatrics

1312 1ST ST
KENNETT, MO 63857

Dunklin County (573) 717-1080

MANUBAY MEDICAL CLINIC MD INC

Pediatrics

1312 1ST ST
KENNETT, MO 63857

Dunklin County (573) 888-1224

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Semo Drug Of Kennett's NPI number?

The NPI number for Semo Drug Of Kennett is 1053514356. It was assigned to this organization in the NPPES registry on June 6, 2007.

Where is Semo Drug Of Kennett located?

Semo Drug Of Kennett is located at 1312 1st St, Kennett, MO 63857. The listed phone number is (573) 888-8880.

What is Semo Drug Of Kennett's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Semo Drug Of Kennett was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.