Active NPI
Christine Michelle Coffman, RPH
- Pharmacist
- Mountain Grove, MO
National Provider Identifier
1124777362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 043499
- Practice address
- 1600 N Main St
Mountain Grove, MO 65711-1010 - Phone
- (417) 926-9655
- Fax
- (417) 926-0045
- NPI assigned
- Mar 23, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 043499 | MO | Primary |
Addresses
Primary practice location
1600 N Main St
Mountain Grove, MO 65711-1010
Mailing address
1600 N Main St
Mountain Grove, MO 65711-1010
Phone (417) 926-9655
Other practice location 1
106 N Union St
Mountain Grove, MO 65711-1724
Phone (417) 926-4156
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043499 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Pharmacy of Mountain Grove LLC | Current | Accepting new patients | |
| Hometown Pharmacy Management LLC | Current | Accepting new patients | |
| Mountain Grove Pharmacy Inc | Current | Accepting new patients |
Locations
1600 N Main St
Mountain Grove, MO 65711
Phone (417) 217-1012
106 N Union St
Mountain Grv, MO 65711
Phone (417) 217-1012
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Mountain Grove, MO
- NPI 1851426852
-
- Pharmacy
- Doniphan, MO
- NPI 1295035327
-
- Community/Retail Pharmacy
- Mountain Grove, MO
- NPI 1285645820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1124777362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 N MAIN ST",
"city": "MOUNTAIN GROVE",
"state": "MO",
"postal_code": "657111010",
"telephone_number": "417-926-9655",
"fax_number": "417-926-0045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 N MAIN ST",
"city": "MOUNTAIN GROVE",
"state": "MO",
"postal_code": "657111010",
"telephone_number": "417-926-9655",
"fax_number": "417-926-0045"
}
],
"practiceLocations": [
{
"address_1": "106 N Union St",
"address_purpose": "LOCATION",
"city": "Mountain Grove",
"state": "MO",
"postal_code": "657111724",
"country_code": "US",
"telephone_number": "417-926-4156",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COFFMAN",
"first_name": "CHRISTINE",
"middle_name": "MICHELLE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-23",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "043499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountain Grove, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.