MEDICARE: BISCEGLIA PHARMACY INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0003X	Community/Retail Pharmacy	2751	MO

General Provider Information

NPI Number	:	1184786048
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BISCEGLIA PHARMACY INC.

Provider Business Mailing Address
First Line	:	540 E 99TH ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64131-4203
Country	:	US
Telephone Number	:	816-942-2884
Fax Number	:	816-942-9153

Provider Business Practice Location Address
First Line	:	540 E 99TH ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64131-4203
Country	:	US
Telephone Number	:	816-942-2884
Fax Number	:	816-942-9153

Authorized Official
Title or Position	:	PHARMACIST
Name	:	BUD BISCEGLIA
Credential	:
Telephone Number	:	816-942-2884

Provider Enumeration Date	:	12/15/2006
Last Update Date	:	12/22/2008

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