Active NPI
Robert Pritchard
Doing business as Park Pharmacy
- Community/Retail Pharmacy
- Cape Girardeau, MO
National Provider Identifier
1104915891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 004500
- Legal business name
- ROBERT PRITCHARD
- Doing business as
- Park Pharmacy
- Practice address
- 37 Doctors Park
Suite 2
Cape Girardeau, MO 63703-4956 - Phone
- (573) 334-4432
- Fax
- (573) 334-7290
- NPI assigned
- Oct 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Pritchard, RPH
- Title
- Owner and Pharmacist
- Phone
- (573) 334-4432
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 004500 | MO | Primary |
Addresses
Primary practice location
37 Doctors Park
Suite 2
Cape Girardeau, MO 63703-4956
Mailing address
37 Doctors Park
Suite 2
Cape Girardeau, MO 63703-4956
Phone (573) 334-4432
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 602201501 | Medicaid | MO | |
| 2050673 | Other | PK |
Other names 1
- Park Pharmacy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1482364800000",
"number": "1104915891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 DOCTORS PARK",
"address_2": "SUITE 2",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637034956",
"telephone_number": "573-334-4432",
"fax_number": "573-334-7290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 DOCTORS PARK",
"address_2": "SUITE 2",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637034956",
"telephone_number": "573-334-4432",
"fax_number": "573-334-7290"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT PRITCHARD",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-12",
"last_updated": "2016-12-22",
"status": "A",
"authorized_official_last_name": "PRITCHARD",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "OWNER AND PHARMACIST",
"authorized_official_telephone_number": "573-334-4432",
"authorized_official_credential": "RPH"
},
"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": "004500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "602201501",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2050673",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Park Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.