MEDICARE: ANNE M BARR ENTERPRISES, 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	3336L0003X	Long Term Care Pharmacy
2	332B00000X	Durable Medical Equipment & Medical Supplies
3	333600000X	Pharmacy	2001024920	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	870023629	OTHER	MO	PALMETTO GBA - RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	31124013	OTHER	MO	BCBS DME
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	2634144	OTHER	MO	NCPDP
8	9004152	OTHER	MO	WPS - MAC J5 PART B

General Provider Information

NPI Number	:	1730174616
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANNE M BARR ENTERPRISES, LLC

Provider Business Mailing Address
First Line	:	PO BOX 147
Second Line	:
City	:	SAVANNAH
State	:	MO
Zip	:	64485-0147
Country	:	US
Telephone Number	:	816-324-5111
Fax Number	:	816-324-5163

Provider Business Practice Location Address
First Line	:	402 E PRICE AVE
Second Line	:
City	:	SAVANNAH
State	:	MO
Zip	:	64485-1742
Country	:	US
Telephone Number	:	816-324-5111
Fax Number	:	816-324-5163

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MRS. ANNE MARIE BARR II
Credential	:	RPH
Telephone Number	:	816-324-5111

Provider Enumeration Date	:	09/15/2005
Last Update Date	:	01/25/2016

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