NPIMap

Organization Active NPI

St. John's Regional Health Center

Doing business as St. John's Pharmacy-Lebanon

  • Pharmacist
  • Lebanon, MO
National Provider Identifier
1164616678
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
006619 Issued in MO
Legal business name
ST. JOHN'S REGIONAL HEALTH CENTER
Doing business as
St. John's Pharmacy-Lebanon
Practice address
200 Hospital Dr
Lebanon, MO 65536-9215
Phone
(417) 533-6770
Fax
(417) 533-6777
NPI assigned
Aug 29, 2007
Last updated
Aug 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Authorized official

Name
Rob Shockley
Title
Reatil Coordinator
Phone
(417) 820-6624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 006619 MO Primary

Addresses

Primary practice location

200 Hospital Dr
Lebanon, MO 65536-9215

Mailing address

200 Hospital Dr
Lebanon, MO 65536-9215
Phone (417) 533-6770

Other names 1

  • St. John's Pharmacy-Lebanon Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St John's Regional Health Center12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1164616678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DR",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655369215",
            "telephone_number": "417-533-6770",
            "fax_number": "417-533-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL DR",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655369215",
            "telephone_number": "417-533-6770",
            "fax_number": "417-533-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN'S REGIONAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "SHOCKLEY",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "REATIL COORDINATOR",
        "authorized_official_telephone_number": "417-820-6624"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "006619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. John's Pharmacy-Lebanon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lebanon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.