Vandivort Drug

Community/Retail Pharmacy Accepts Medicare


  
  117 W 4th St, Salem
Missouri, 65560-1255

 573-729-4114    573-729-5353
Vandivort Drug is a Community/Retail Pharmacy in Salem, Missouri. This pharmacy is owned and operated by Wisdom Drug Llc. It is located at 117 W 4th St, Salem and it's customer support contact number is 573-729-4114. The authorized person of Vandivort Drug is Teel Ryan Wisdom who is Owner/pharmacist In Charge of the pharmacy and his contact number is 573-729-4114. Active license number of Vandivort Drug is PS 004855 for Community/Retail Pharmacy in Missouri. Vandivort Drug accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Vandivort Drug is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Pharmacy Details:
Vandivort Drug type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name: Vandivort Drug
Type: Community/Retail Pharmacy
Location:117 W 4th St, Salem,
Missouri, 65560-1255
Phone:573-729-4114
Fax:573-729-5353
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name: Teel Ryan Wisdom
Position: Owner/pharmacist In Charge
Contact Number: 573-729-4114
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number: 1225072093
NPI Enumeration Date: 15 Jun, 2006
NPI Last Update On: 14 Feb, 2020

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Vandivort Drug are as mentioned below.
SpecializationLicense NumberStateStatus
Community/Retail Pharmacy PS 004855MissouriPrimary
Long Term Care Pharmacy Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
600126916MedicaidMissouri
Medicare Enrollment:
Vandivort Drug is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID: Enrollment ID: Org NameMedicare Entity Type
0648391367O20100930040772Vandivort DrugDME SUPPLIER - PHARMACY
Products Available:
Vandivort Drug has following products available for sale under medicare.
    Products
  • Blood Glucose Monitors & Supplies: Non-mail Order
  • Business Mailing Address:
    Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
    Address: 117 W 4th St,
    Salem, Missouri
    Zip: 65560-1255
    Phone Number: 573-729-4114
    Fax Number: 573-729-5353
    Patients can reach Vandivort Drug at 117 W 4th St, Salem, Missouri or can call on customer care at 573-729-4114.

    Comments/ Reviews:


    *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.

    Other Pharmacies in Salem, Missouri
    Moser Pharmacy
    Address: 900 S Main, Salem, MO
    Phone: 573-729-3300    Fax: 573-729-9567
    Sinks Pharmacy
    Address: 1204 E Highway 32, Salem, MO
    Phone: 573-729-4091    Fax: 573-729-2394
    Walmart Pharmacy 10-0027
    Address: 1101 W Scenic Rivers Blvd, Salem, MO
    Phone: 573-729-4131
    Medley Pharmacy Inc
    Speciality: Long Term Care Pharmacy
    Address: 1204 E Highway 32, Salem, MO
    Phone: 573-729-4091    Fax: 573-429-2394