PHARMACY I LLC (NPI# 1083155626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083155626 |
| Entity Type | Organization |
| Organization Name | PHARMACY I LLC |
| Practice Address |
5492 Highway H Unit E Pleasant Hope MO 65725-8227 |
| Practice Telephone | 4172676337 |
| Practice Fax Number | 4172672013 |
| Mailing Telephone | 4172676337 |
| Mailing Fax Number | 4172672013 |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2019-10-04 |
| Authorized Official Name | COLBY GROVE (PIC) |
| Authorized Official Telephone | 4172676337 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2017004711 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2168308 | 01 | |
| MO | 600041761 | 05 |
| Street Address |
5492 HIGHWAY H UNIT E |
| City | PLEASANT HOPE |
| State | MO |
| Zip Code | 65725-8227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508010422 | Pleasant Hope School Dist R6 | Physical Therapist | 303 N Main St, Pleasant Hope, MO 65725-8108 | 2008-11-05 |
| 1316191232 | Jeanne E Hermann | Speech-Language Pathologist | 303 N Main St, Pleasant Hope, MO 65725-8108 | 2008-11-05 |
| 1295074615 | Tisha Kathleen Joplin | Nurse Practitioner | 209 S Main St, Pleasant Hope, MO 65725-8121 | 2013-02-05 |
| 1275720443 | Kevin Michael Presley | Family Medicine | 209 S Main St, Pleasant Hope, MO 65725-8121 | 2007-10-01 |
| 1740494541 | Citizens Memorial Healthcare | Clinic/Center | 209 S Main St, Pleasant Hope, MO 65725-8121 | 2007-05-10 |
| 1194020958 | Betty Kay Ennis | Counselor | 8589 N Farm Road 157, Pleasant Hope, MO 65725-9143 | 2011-01-25 |
| 1356648299 | Terri Lee Altic | Physical Therapy Assistant | 1931 E 540th Rd, Pleasant Hope, MO 65725-9184 | 2011-02-11 |
| 1396346870 | Lyea Dorae Shine | Registered Nurse | 502 Mccurry St, Pleasant Hope, MO 65725-9231 | 2020-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346870 | Lyea Dorae Shine | Registered Nurse | 502 Mccurry St, Pleasant Hope, MO 65725-9231 | 2020-11-03 |
| 1356648299 | Terri Lee Altic | Physical Therapy Assistant | 1931 E 540th Rd, Pleasant Hope, MO 65725-9184 | 2011-02-11 |
| 1194020958 | Betty Kay Ennis | Counselor | 8589 N Farm Road 157, Pleasant Hope, MO 65725-9143 | 2011-01-25 |
| 1295074615 | Tisha Kathleen Joplin | Nurse Practitioner | 209 S Main St, Pleasant Hope, MO 65725-8121 | 2013-02-05 |
| 1508010422 | Pleasant Hope School Dist R6 | Physical Therapist | 303 N Main St, Pleasant Hope, MO 65725-8108 | 2008-11-05 |
| 1316191232 | Jeanne E Hermann | Speech-Language Pathologist | 303 N Main St, Pleasant Hope, MO 65725-8108 | 2008-11-05 |
| 1275720443 | Kevin Michael Presley | Family Medicine | 209 S Main St, Pleasant Hope, MO 65725-8121 | 2007-10-01 |
| 1740494541 | Citizens Memorial Healthcare | Clinic/Center | 209 S Main St, Pleasant Hope, MO 65725-8121 | 2007-05-10 |
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374629 | Curators of The University of Missouri | Pharmacy | 7115 East St. Charles Road, Columbia, MO 65202 | 2020-10-21 |
| 1376141143 | Phillips Pharmacy, LLC | Pharmacy | 7278 State Highway 14 E, Sparta, MO 65753-9345 | 2020-10-14 |
| 1013527761 | Rpcs, Inc. | Pharmacy | 18128 State Hwy 13, Branson West, MO 65737 | 2020-08-07 |
| 1205446184 | Rpcs, Inc. | Pharmacy | 200 Southtowne Blvd, Hollister, MO 65672-9610 | 2020-08-05 |
| 1912517897 | Rpcs, Inc. | Pharmacy | 1447 State Highway 248 Ste J, Branson, MO 65616-8161 | 2020-08-05 |
| 1245849801 | Rpcs Inc | Pharmacy | 163 W Old Mill Rd, Fair Grove, MO 65648-7918 | 2020-07-29 |
| 1760005219 | Meta Pharmacy Solutions | Pharmacy | 108 Triad Ctr W, O Fallon, MO 63366-7541 | 2020-05-19 |
| 1437778172 | Harps Food Stores, Inc | Pharmacy | 707 Specialty Dr, Dexter, MO 63841-2718 | 2020-04-13 |
| 1013540038 | Auburn Pharmacy Inc | Pharmacy | 810 W 35th St Ste 101, Higginsville, MO 64037-1865 | 2020-02-18 |
| 1801428495 | Scpg Missouri LLC | Pharmacy | 501 South Madison Ave, Suite S, Webb City, MO 64870 | 2020-02-11 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANT HOPE |
| Zip Code | 65725 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.