Organization Active NPI

Show Me State Infusion Pharmacy

Doing business as Show Me State Vital Care

  • Home Infusion Therapy Pharmacy
  • Riverside, MO
National Provider Identifier
1043928104
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
Legal business name
SHOW ME STATE INFUSION PHARMACY
Doing business as
Show Me State Vital Care
Practice address
420 NW Business Park LN
Riverside, MO 64150-9572
Phone
(816) 552-5200
Fax
(816) 552-5201
NPI assigned
Nov 8, 2022
Last updated
Oct 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ross Vogel
Title
Managing Member
Phone
(816) 552-5200

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X NU
Durable Medical Equipment & Medical Supplies 332B00000X NU
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X NU
Pharmacy 333600000X NU
Home Infusion Therapy Pharmacy 3336H0001X NU Primary

Addresses

Primary practice location

420 NW Business Park LN
Riverside, MO 64150-9572

Mailing address

420 NW Business Park LN
Riverside, MO 64150-9572
Phone (816) 552-5200

Other names 1

  • Show Me State Vital Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230320002858 MO DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 6800260597 Practice locations: Riverside, MO

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Show Me State Vital Care420 NW Business Park LN, Riverside, MO 64150-9572(816) 552-5200 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Oral Anticancer Drugs|External Infusion Pumps and/or Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies Accepts assignmentParticipating since Jan 1, 2026

National Provider Directory

National Provider Directory
Tax ID family
Show Me State Infusion Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1043928104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 NW BUSINESS PARK LN",
            "city": "RIVERSIDE",
            "state": "MO",
            "postal_code": "641509572",
            "telephone_number": "816-552-5200",
            "fax_number": "816-552-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 NW BUSINESS PARK LN",
            "city": "RIVERSIDE",
            "state": "MO",
            "postal_code": "641509572",
            "telephone_number": "816-552-5200",
            "fax_number": "816-552-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOW ME STATE INFUSION PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-08",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "VOGEL",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "816-552-5200"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Show Me State Vital Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.