Organization Active NPI

Parkland Apothecary LLC

Doing business as Parkland Pharmacy

  • Long Term Care Pharmacy
  • Desloge, MO
National Provider Identifier
1417534512
Registry record updated Jan 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
PARKLAND APOTHECARY LLC
Doing business as
Parkland Pharmacy
Practice address
1131 N Desloge Dr
Desloge, MO 63601-2936
Phone
(573) 431-6677
Fax
(573) 431-3833
NPI assigned
Mar 25, 2021
Last updated
Jan 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2025

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

Authorized official

Name
Deborah Ann Hamby
Title
Business Manager
Phone
(573) 431-6677

Specialties & licenses 1

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

Addresses

Primary practice location

1131 N Desloge Dr
Desloge, MO 63601-2936

Mailing address

1131 N Desloge Dr
Desloge, MO 63601-2936
Phone (573) 431-6677

Other identifiers 1

IdentifierTypeStateIssuer
606222008MedicaidMO

Other names 1

  • Parkland Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737763200000",
    "number": "1417534512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 N DESLOGE DR",
            "city": "DESLOGE",
            "state": "MO",
            "postal_code": "636012936",
            "telephone_number": "573-431-6677",
            "fax_number": "573-431-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 N DESLOGE DR",
            "city": "DESLOGE",
            "state": "MO",
            "postal_code": "636012936",
            "telephone_number": "573-431-6677",
            "fax_number": "573-431-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKLAND APOTHECARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-25",
        "status": "A",
        "authorized_official_last_name": "HAMBY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "573-431-6677"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "606222008",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkland Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Desloge, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2025; 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.