Tim Mitchell Medical, Inc
Tim Mitchell Medical, Inc is a healthcare organization registered as Community/Retail Pharmacy in Neosho, MO, holding Type 2 (organization) NPI 1578669701 since 2006. The authorized official on file is Tim Mitchell, Owner/Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1578669701 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Tim Mitchell Medical, Inc |
| Other name | <Unavail> |
| Practice address | 719 S NEOSHO BLVD, STE A, Neosho, MO, 64850 |
| Phone | 4174519501 |
| Fax | 4174519594 |
| Enumeration date | 2006-09-15 |
| Last updated in NPPES | 2025-05-01 |
Authorized official
| Name | Tim Mitchell |
|---|---|
| Title | Owner/Manager |
| Phone | 4174519501 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Primary | 2003027740 | MO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 622932309 | Medicaid | MO | — |
| 200286710A | Medicaid | OK | — |
| 200642940A | Medicaid | KS | — |
| 602932303 | Medicaid | MO | — |
Copy-ready billing details
Provider: Tim Mitchell Medical, Inc NPI: 1578669701 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 719 S NEOSHO BLVD, STE A, Neosho, MO, 64850
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1124471495 | Krystal Frossard | Individual | Pharmacist | Neosho, MO |
| 1811496334 | Laken Brock | Individual | Pharmacist | Neosho, MO |
| 1164156956 | Tanner Mitchell | Individual | Pharmacist | Neosho, MO |
| 1477230845 | Tim Mitchell Medical Inc | Organization | Long Term Care Pharmacy | Neosho, MO |
| 1306694625 | Jenifer Corter | Individual | Family Nurse Practitioner | Neosho, MO |
| 1922832666 | Big Tree Medical Neosho | Organization | Family Medicine Physician | Neosho, MO |
Verify this record
Cross-check NPI 1578669701 against the authoritative CMS record: view Tim Mitchell Medical, 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
How current is this record?
Where is Tim Mitchell Medical, Inc located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-05-01.