Teaco, Inc
Teaco, Inc is a healthcare organization registered as Pharmacist in Kennett, MO, holding Type 2 (organization) NPI 1356455778 since 2006. The authorized official on file is Jerid Maddox, Pic.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1356455778 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Teaco, Inc |
| Other name | <Unavail> |
| Practice address | 501 TEACO RD, Kennett, MO, 63857 |
| Phone | 5738886673 |
| Enumeration date | 2006-08-19 |
| Last updated in NPPES | 2014-10-30 |
Authorized official
| Name | Jerid Maddox |
|---|---|
| Title | Pic |
| Phone | 5738886673 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 183500000X | Pharmacist | Primary | 2004011813 | MO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60095005 | Medicaid | MO | — |
| 2617225 | Other | — | NCPDP |
| 2004011813 | Other | MO | STATE LICENSE # |
Copy-ready billing details
Provider: Teaco, Inc NPI: 1356455778 Taxonomy: 183500000X (Pharmacist) Address: 501 TEACO RD, Kennett, MO, 63857
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1376656140 | Gong Kuo | Individual | Obstetrics & Gynecology Physician | Kennett, MO |
| 1013060854 | Jerid Maddox | Individual | Pharmacist | Kennett, MO |
Verify this record
Cross-check NPI 1356455778 against the authoritative CMS record: view Teaco, Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Teaco, Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2014-10-30.