NPIMap

Organization Active NPI

Parkland Pharmacy Development LLC

  • Long Term Care Pharmacy
  • Fredericktown, MO
National Provider Identifier
1053764571
Registry record updated Jan 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
2012034351 Issued in MO
Legal business name
PARKLAND PHARMACY DEVELOPMENT LLC
Practice address
1025 E Highway 72 Byp
Fredericktown, MO 63645-7326
Phone
(573) 783-6000
Fax
(573) 783-6008
NPI assigned
Jul 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2025

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

Authorized official

Name
Debbie Hamby
Title
Business Manager
Phone
(573) 783-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 2012034351 MO Primary

Addresses

Primary practice location

1025 E Highway 72 Byp
Fredericktown, MO 63645-7326

Mailing address

1025 E Highway 72 Byp
Fredericktown, MO 63645-7326
Phone (573) 783-6000

Other identifiers 1

IdentifierTypeStateIssuer
2161997OtherPK

Other names 1

  • Parkland Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Parkland Pharmacy LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737763200000",
    "number": "1053764571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 E HIGHWAY 72 BYP",
            "city": "FREDERICKTOWN",
            "state": "MO",
            "postal_code": "636457326",
            "telephone_number": "573-783-6000",
            "fax_number": "573-783-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 E HIGHWAY 72 BYP",
            "city": "FREDERICKTOWN",
            "state": "MO",
            "postal_code": "636457326",
            "telephone_number": "573-783-6000",
            "fax_number": "573-783-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKLAND PHARMACY DEVELOPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-25",
        "status": "A",
        "authorized_official_last_name": "HAMBY",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "573-783-6000"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MO",
            "license": "2012034351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2161997",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkland Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fredericktown, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.