Active NPI
Advanced Pharmacy
- Pharmacy
- Poplar Bluff, MO
National Provider Identifier
1023306776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 2011021111
- Legal business name
- ADVANCED PHARMACY
- Practice address
- 2865 James Blvd
Poplar Bluff, MO 63901-2803 - Phone
- (573) 727-9030
- Fax
- (573) 927-9023
- NPI assigned
- Jul 15, 2011
- Last updated
- Jul 15, 2011
- Organization subpart
- Yes
- Parent organization
- IRM ENTERPRISES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohammad Attique
- Title
- Owner
- Phone
- (314) 381-9394
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 2011021111 | MO | Primary |
Addresses
Primary practice location
2865 James Blvd
Poplar Bluff, MO 63901-2803
Mailing address
2865 James Blvd
Poplar Bluff, MO 63901-2803
Phone (573) 727-9030
National Provider Directory
National Provider Directory- Part of
- Advanced Pharmacy
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1310688000000",
"number": "1023306776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2865 JAMES BLVD",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639012803",
"telephone_number": "573-727-9030",
"fax_number": "573-927-9023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2865 JAMES BLVD",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639012803",
"telephone_number": "573-727-9030",
"fax_number": "573-927-9023"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED PHARMACY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "IRM ENTERPRISES",
"enumeration_date": "2011-07-15",
"last_updated": "2011-07-15",
"status": "A",
"authorized_official_last_name": "ATTIQUE",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-381-9394"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "MO",
"license": "2011021111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poplar Bluff, MO
- Advanced Health Care Management Services, LLC (Advanced Foot & Ankle Clinic)
- Advanced Healthcare Diagnostic Services, LLC
- Advanced Healthcare Management Services, LLC (Advanced Family Healthcare Clinic)
- Advanced Healthcare Management Services, LLC (Advanced Healthcare Pharmacy I)
- Advanced Healthcare Surgical Center, LLC
- Advanced Therapy Services, LLC
- Muhammad Saad Ahmad, MD
- Bisma Ahsan, MD
- Air Evac EMS Inc
- Air Evac EMS Inc (Air Evac Lifeteam)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.