Active NPI
Johns Pharmacy LLLP
- Durable Medical Equipment & Medical Supplies
- Cape Girardeau, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- JOHNS PHARMACY LLLP
- Practice address
- 2001 Independence St
Cape Girardeau, MO 63703-5805 - Phone
- (573) 334-1300
- NPI assigned
- Jul 5, 2018
- 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
- Abraham T Funk
- Title
- Owner
- Phone
- (573) 334-1300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
2001 Independence St
Cape Girardeau, MO 63703-5805
Mailing address
2001 Independence St
Cape Girardeau, MO 63703-5805
Phone (573) 334-1300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 602852105 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160317000335 | MO | DME Supplier - Pharmacy | 3072819028 |
1 other NPI on this enrollment Practice locations: Cape Girardeau, MO |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba John's Pharmacy
- Community/Retail Pharmacy
- Cape Girardeau, MO
- NPI 1437109667
3072819028
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba John's Pharmacy
- Community/Retail Pharmacy
- Cape Girardeau, MO
- NPI 1437109667
O20160317000335
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Cape Girardeau, MO
- NPI 1457683823
-
- Pharmacist
- Cape Girardeau, MO
- NPI 1124302674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783382400000",
"number": "1164918918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 INDEPENDENCE ST",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637035805",
"telephone_number": "573-334-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 INDEPENDENCE ST",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637035805",
"telephone_number": "573-334-1300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHNS PHARMACY LLLP",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-05",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A",
"authorized_official_last_name": "FUNK",
"authorized_official_first_name": "ABRAHAM",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "573-334-1300"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "602852105",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
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 Jul 7, 2026; 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.