SHELL KNOB PHARMACY LLC (NPI# 1518980986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518980986 |
| Entity Type | Organization |
| Organization Name | SHELL KNOB PHARMACY LLC |
| Other Organization Name | PLAZA PHARMACY |
| Practice Address |
24875 State Hwy 39 Shell Knob MO 65747 |
| Mailing Address |
Po Box 419 Shell Knob MO 65747-0419 |
| Practice Telephone | 4178582200 |
| Practice Fax Number | 4178582216 |
| Mailing Telephone | 4178582200 |
| Mailing Fax Number | 4178582216 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2016-06-02 |
| Authorized Official Name | CONG DANG (OWNER) |
| Authorized Official Telephone | 4177666990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2016013824 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2159951 | 01 |
| Other Name | Type Code |
|---|---|
| PLAZA PHARMACY | Doing Business As Name - Organization |
| Street Address |
24875 STATE HWY 39 |
| City | SHELL KNOB |
| State | MO |
| Zip Code | 65747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639287600 | Kerry Duane Cox | Family Medicine | Hwy 39 & Yy, Shell Knob, MO 65747 | 2006-08-29 |
| 1538334396 | Lester E. Cox Medical Centers | Family Medicine | 25376 State Hwy 39, Ste 301, Shell Knob, MO 65747 | 2008-04-23 |
| 1750456281 | Regional Services | Clinic/Center | Hwy 39 & Yy, Shell Knob, MO 65747 | 2006-11-21 |
| 1144312497 | Lester E Cox Medical Centers | Family Medicine | 25376 State Hwy 39, Suite 301, Shell Knob, MO 65747 | 2006-09-28 |
| 1265590053 | William R. Chism Od PC | Optometrist | Bridgeway Plaza, Shell Knob, MO 65747-0189 | 2006-12-05 |
| 1154334977 | Cynthia C Hughes | Family Medicine | 25376 State Highway 39, #301, Shell Knob, MO 65747-7343 | 2006-08-14 |
| 1962499830 | Georgann Marie Greissinger | Nurse Practitioner | 25376 State Hwy 39, #301, Shell Knob, MO 65747-7343 | 2005-10-05 |
| 1215396635 | Cox-monett Hospital Inc | Family Medicine | 25376 State Highway 39, Suite 301, Shell Knob, MO 65747-7343 | 2016-02-12 |
| 1629468103 | Brian K. Leach Dds LLC | Dentist | 25376 State Highway 39, Suite 201, Shell Knob, MO 65747-7343 | 2015-02-04 |
| 1235459447 | Brian K. Leach, D.d.s. | Dentist | 25376 State Highway 39, Suite 201, Shell Knob, MO 65747-7343 | 2010-06-10 |
| Find all providers in zip 65747 | ||||
| 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 | SHELL KNOB |
| Zip Code | 65747 |
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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.