Organization Active NPI

Robert Pritchard

Doing business as Park Pharmacy

  • Community/Retail Pharmacy
  • Cape Girardeau, MO
National Provider Identifier
1104915891
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
004500 Issued in MO
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

Updated by the provider on Dec 22, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
602201501MedicaidMO
2050673OtherPK

Other names 1

  • Park Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.