Queen City Pharmacies, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

QUEEN CITY PHARMACIES, LLC

Doing business as

Medicenter Pharmacy

Practice address

1474 N Boonville Ave
Springfield, MO 65802-1806

Phone

(417) 869-1866

Fax

(417) 869-6601

NPI assigned

Oct 12, 2023

Last updated

Oct 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Peter Schreiber

Title

Owner

Phone

(314) 497-9311

Specialties & licenses 1

Addresses

Other names 1

• Medicenter Pharmacy Doing business as

Tax ID family

Boonville Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Queen City Pharmacies, LLC

  dba Medicenter Pharmacy

  • Community/Retail Pharmacy
  • Springfield, MO
  • NPI 1013089804
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1194506329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 S NEW BALLAS RD STE 260",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418744",
            "telephone_number": "314-497-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1474 N BOONVILLE AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658021806",
            "telephone_number": "417-869-1866",
            "fax_number": "417-869-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN CITY PHARMACIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "SCHREIBER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-497-9311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicenter Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Queen City Anesthesia Group LLC
• Queen City Anesthesia Group, LLC
• Queen City Anesthesia Group, LLC
• Queen City Anesthesia Group, LLC
• Queen City Pharmacies, LLC (Medicenter Pharmacy)
• Queen City Pharmacies, LLC
• Megan Rene Quella, NP
• Sara Elizabeth Quick, MS, LPC
• Quiet Strength Counseling, LLC
• Albin Quiko, MD

• Long Term Care Pharmacy in Springfield, MO
• Providers in Springfield, MO by specialty
• Long Term Care Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.