Organization Active NPI

The Pharmacy I LLC

  • Community/Retail Pharmacy
  • Pleasant Hope, MO
National Provider Identifier
1083155626
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2017004711 Issued in MO
Legal business name
THE PHARMACY I LLC
Doing business as
The Pharmacy @ Pleasant Hope
Practice address
5492 Highway H Unit E
Pleasant Hope, MO 65725-8227
Phone
(417) 267-6337
Fax
(417) 267-2013
NPI assigned
Mar 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Whitney Christopher Grove
Title
Managing Member
Phone
(417) 267-6337

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2017004711 MO Primary
Compounding Pharmacy 3336C0004X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

5492 Highway H Unit E
Pleasant Hope, MO 65725-8227

Mailing address

5492 Highway H Unit E
Pleasant Hope, MO 65725-8227
Phone (417) 267-6337

Other identifiers 2

IdentifierTypeStateIssuer
2168308OtherPK
600041761MedicaidMO

Other names 1

  • The Pharmacy @ Pleasant Hope Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180131000874 MO Part B Supplier - Mass Immunization (Roster Biller Only) 2466712021 Practice locations: Pleasant Hope, MO

National Provider Directory

National Provider Directory

Locations

5492 Highway H
Unit E
Pleasant Hope, MO 65725
Phone (417) 267-6337

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1083155626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5492 HIGHWAY H UNIT E",
            "city": "PLEASANT HOPE",
            "state": "MO",
            "postal_code": "657258227",
            "telephone_number": "417-267-6337",
            "fax_number": "417-267-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5492 HIGHWAY H UNIT E",
            "city": "PLEASANT HOPE",
            "state": "MO",
            "postal_code": "657258227",
            "telephone_number": "417-267-6337",
            "fax_number": "417-267-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PHARMACY I LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "GROVE",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "417-267-6337"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2017004711",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168308",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600041761",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pharmacy @ Pleasant Hope",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasant Hope, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.