Johns Pharmacy LLLP

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2015041869 Issued in MO

Legal business name

JOHNS PHARMACY LLLP

Practice address

2001 Independence St
Cape Girardeau, MO 63703-5805

Phone

(573) 334-1300

Fax

(573) 334-0493

NPI assigned

May 10, 2006

Organization subpart

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 2

• John's Pharmacy Doing business as
• John's Pharmacy, LLLP Doing business as

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Johns Pharmacy LLLP

  • Durable Medical Equipment & Medical Supplies
  • Cape Girardeau, MO
  • NPI 1164918918

  3072819028

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Johns Pharmacy LLLP

  • Durable Medical Equipment & Medical Supplies
  • Cape Girardeau, MO
  • NPI 1164918918

  O20160317000335

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Jennifer E Schroeder

  • Pharmacist
  • Cape Girardeau, MO
  • NPI 1124302674
  NPD

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1437109667",
    "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",
            "fax_number": "573-334-0493"
        },
        {
            "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",
            "fax_number": "573-334-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNS PHARMACY LLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "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": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2015041869",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157847",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "602852105",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "John's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "John's Pharmacy, LLLP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John J. Russell, MD, PC
• John L Sauer, DDS, LLC
• John S RX LLLP
• Johns Healthcare Services LLC
• Johns Pharmacy LLLP
• Andrew F. Johnson, EDS LPC NCC EMDR-CT
• Braden Johnson
• Carrie Johnson
• Charles D Johnson, LPC
• Danny S Johnson, MA, LCSW, LPC

• Community/Retail Pharmacy in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.