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BIG TREE PHARMACY
NPI 1619577905
Pharmacy in Columbia, MO

Active since October 27, 2020CLIA Certified · 2 labs
206 CORPORATE LAKE DR, COLUMBIA, MO 65203(573) 814-1170 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2024, Oct 27, 2020 (2 updates tracked since 2020).

About Big Tree Pharmacy NPPES

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

BIG TREE PHARMACY (NPI 1619577905) is a healthcare organization registered as a pharmacy in Columbia, Missouri and active in the NPI registry since October 2020. The organization holds 2 active CLIA laboratory certificates and lists Adam Wheeler, Owner, as its authorized official.

NPPES Registry Identity

NPI1619577905
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameBIG TREE MEDICAL INC.
Location Address206 CORPORATE LAKE DRColumbia, MO 65203-7172
Mailing Address206 Corporate Lake DrColumbia, MO 65203-7172 · (738) 141-1705
Phone(573) 814-1170
Organization SubpartNo
Authorized OfficialAdam WheelerOwner · (573) 673-5770
Enumeration DateOctober 27, 2020
Last NPPES UpdateNovember 7, 20242 updates tracked since enumeration
NPPES CertifiedNovember 7, 2024
✔ NPI 1619577905 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.
206 CORPORATE LAKE DR, Columbia, MO 65203
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Other Names 1

Doing Business AsBig Tree Pharmacy

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2202493

Big Tree Medical Home-Bolivar · Bolivar, MO
Active · expires Nov 27, 2026
CLIA Number26D2202493
Laboratory TypePhysician Office
Certificate Effective DateNovember 28, 2024
Certificate Expiration DateNovember 27, 2026
Laboratory DirectorAdam D. Wheeler
Laboratory Phone(573) 814-1170
Laboratory LocationBig Tree Medical Home-Bolivar626 South Springfield Ave, Bolivar, MO 65613
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D2202494

Big Tree Medical Home-Boonville · Boonville, MO
Active · expires Nov 27, 2026
CLIA Number26D2202494
Laboratory TypePhysician Office
Certificate Effective DateNovember 28, 2024
Certificate Expiration DateNovember 27, 2026
Laboratory DirectorAdam D. Wheeler
Laboratory Phone(573) 814-1170
Laboratory LocationBig Tree Medical Home-Boonville2400 Boonslick Dr, Boonville, MO 65233
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

KIMBERLY MOORE PHARMD, M.S.
Pharmacist
206 CORPORATE LAKE DR
COLUMBIA, MO 65203
Boone County (573) 814-1170
LITTLE TREE PEDIATRIC URGENT CARE LLC
Clinic/Center (Urgent Care)
206 CORPORATE LAKE DR
COLUMBIA, MO 65203
Boone County (573) 814-1170

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 Big Tree Medical Inc.'s NPI number?

The NPI number for Big Tree Medical Inc. is 1619577905. It was assigned to this organization in the NPPES registry on October 27, 2020. The provider is doing business as Big Tree Pharmacy.

Where is Big Tree Medical Inc. located?

Big Tree Medical Inc. is located at 206 Corporate Lake Dr, Columbia, MO 65203. The listed phone number is (573) 814-1170.

What is Big Tree Medical Inc.'s specialty?

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

Does Big Tree Medical Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Big Tree Medical Inc. was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.