NPIMap

Organization Active NPI

Sikeston Pharmacy LLC

  • Long Term Care Pharmacy
  • Sikeston, MO
National Provider Identifier
1316614001
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
SIKESTON PHARMACY LLC
Practice address
507 N Main St
Sikeston, MO 63801-2105
Phone
(573) 471-4401
Fax
(573) 471-5448
NPI assigned
Aug 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Authorized official

Name
Casey Duncan
Title
Operations Manager
Phone
(573) 576-6562

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

507 N Main St
Sikeston, MO 63801-2105

Mailing address

507 N Main St
Sikeston, MO 63801-2105
Phone (573) 471-4401

Other names 1

  • Sikeston MediCenter Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Script Masters 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.

Locations

507 N Main St
Sikeston, MO 63801
Phone (573) 471-4401

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1316614001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 N MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638012105",
            "telephone_number": "573-471-4401",
            "fax_number": "573-471-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 N MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638012105",
            "telephone_number": "573-471-4401",
            "fax_number": "573-471-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIKESTON PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "573-576-6562"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sikeston MediCenter Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sikeston, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.