MEDICARE: FOOD MERCHANTS, LLC

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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy
3	3336L0003X	Long Term Care Pharmacy	2017018438	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2171118	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639690365
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOOD MERCHANTS, LLC

Provider Business Mailing Address
First Line	:	PO BOX 397
Second Line	:
City	:	NIXA
State	:	MO
Zip	:	65714-0397
Country	:	US
Telephone Number	:	417-818-3125
Fax Number	:	417-374-7582

Provider Business Practice Location Address
First Line	:	105 S RIDGECREST AVE STE 2
Second Line	:
City	:	NIXA
State	:	MO
Zip	:	65714-6206
Country	:	US
Telephone Number	:	417-893-3902
Fax Number	:	855-547-5705

Authorized Official
Title or Position	:	OWNER
Name	:	DONALD G SAVLEY
Credential	:
Telephone Number	:	417-818-3125

Provider Enumeration Date	:	07/03/2017
Last Update Date	:	06/20/2024

Similar Medicare Providers

1609854769 — DAVID GREGORY TRUE D.O.
Practice Location Address:

105 S RIDGECREST AVE STE 3C
NIXA, MO
65714-6206

Practice Phone: 417-719-4510
Practice Fax: 417-893-3900

1356891774 — FOOD MERCHANTS LLC
Practice Location Address:

105 S RIDGECREST AVE STE 3A
NIXA, MO
65714-6206

Practice Phone: 417-719-4510
Practice Fax: 417-893-3908

1265066690 — HOLLY K LETTERMAN-HITT FNP-BC
Practice Location Address:

105 S RIDGECREST AVE STE 3C
NIXA, MO
65714-6206

Practice Phone: 417-210-7003
Practice Fax: 417-210-7006

1295471811 — ALPS HEALTH, LLC
Practice Location Address:

105 S RIDGECREST AVE STE 3C
NIXA, MO
65714-6206

Practice Phone: 417-210-7003
Practice Fax: 417-210-7006

1427785278 — FOOD MERCHANTS, LLC
Practice Location Address:

105 S RIDGECREST AVE STE 3A
NIXA, MO
65714-6206

Practice Phone: 417-719-4510
Practice Fax: 417-893-3908

1316656390 — FOOD MERCHANTS LLC
Practice Location Address:

105 S RIDGECREST AVE STE 9
NIXA, MO
65714-6206

Practice Phone: 417-725-5252
Practice Fax:

Directions to “FOOD MERCHANTS, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.