Rahela Lup

Primary specialty

PharmacistTaxonomy code 183500000X

License

2021038997 Issued in MO

Practice address

5492 Highway H Unit E
Pleasant Hope, MO 65725-8227

Phone

(417) 267-6337

NPI assigned

Jul 9, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Pharmacy I LLC

  • Community/Retail Pharmacy
  • Pleasant Hope, MO
  • NPI 1083155626
  NPD (past)

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

{
    "created_epoch": "1657324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657324800000",
    "number": "1346973070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 N EDGEMONT CIR",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658027858",
            "telephone_number": "417-209-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5492 HIGHWAY H UNIT E",
            "city": "PLEASANT HOPE",
            "state": "MO",
            "postal_code": "657258227",
            "telephone_number": "417-267-6337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "490 N Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Ash Grove",
            "state": "MO",
            "postal_code": "656041004",
            "country_code": "US",
            "telephone_number": "417-267-6337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUP",
        "first_name": "RAHELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-09",
        "last_updated": "2022-07-09",
        "certification_date": "2022-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2021038997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Citizens Memorial Healthcare
• Betty Kay Ennis, PLPC
• Dana Gifford, OTR/L, CBIS, CSRS
• Colby Grove, PHARMD
• Jeanne E Hermann
• Next Chapter Counseling
• Pleasant Hope School Dist R6
• Lyea Dorae Shine
• The Pharmacy I LLC

• Pharmacist in Pleasant Hope, MO
• Providers in Pleasant Hope, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2022; 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.