Rockers Pharmacy
LBN: Rockers Pharmacy Inc
Rockers Pharmacy is an health care organization with primary practice located at 304 Baptiste Dr , Paola KS 66071-1329. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Rockers Pharmacy Inc can be contacted via phone (913) 294-2715, or through Rockers, Nathan via phone (913) 294-2715.
Contact Information
Primary practice address
304 Baptiste Dr
Paola KS 66071-1329
Phone: (913) 294-2715
Fax: (913) 294-3666
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2-13049 | Kansas |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1104053107 |
|---|---|
| LBN Legal business name | Rockers Pharmacy Inc |
| DBA Doing business as | Rockers Pharmacy |
| Authorized official | Rockers, Nathan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 17th, 2009 |
| Last updated | Oct 24th, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104053107 | NPPES |
| Missouri | MEDICAID | 4322194 | |
| Missouri | MEDICAID | 1104053107 | |
| Missouri | MEDICAID | 1651591 | |
| Missouri | MEDICAID | 200613730A | |
| Missouri | MEDICAID | 143825500 | |
| Missouri | Other | 2120693 |
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