1487725495 NPI number — RPCS, INC

Table of content: (NPI 1487725495)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487725495 NPI number — RPCS, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RPCS, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
KING CASH SAVER PHARMACY #10
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1487725495
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/06/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1878 S STATE HIGHWAY 125
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROGERSVILLE
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
65742-8357
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
417-829-9281
Provider Business Mailing Address Fax Number:
417-829-9204

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
601 S JEFFERSON AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEBANON
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
65536-3665
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
417-588-3313
Provider Business Practice Location Address Fax Number:
417-588-3521
Provider Enumeration Date:
11/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
TAYLOR
Authorized Official First Name:
ERICK
Authorized Official Middle Name:
Authorized Official Title or Position:
C.E.O./PRESIDENT
Authorized Official Telephone Number:
417-829-9200

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X , with the licence number:  2005003793 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2635209 . This is a "OTHER ID NUMBER-COMMERCIAL NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 601836752 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".




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