Cape Pharmacy LLC
Organization Active NPI Community/Retail Pharmacy · Cape Girardeau, MO
NPI 1609120484 · NPPES record last updated May 20, 2026
Key facts
- NPI
- 1609120484
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 2012041949 (MO)
- Legal business name
- CAPE PHARMACY LLC
- Practice address
- 465 S Mount Auburn Rd Ste 101
Cape Girardeau, MO 63703-4931 - Phone
- (573) 651-5250
- Fax
- (573) 651-5230
- NPI assigned
- Nov 1, 2012
- Organization subpart
- No
Authorized official
- Name
- Casey Duncan
- Title
- Owner/Operations Manager
- Phone
- (573) 576-6562
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140926001361 | MO | DME Supplier - Pharmacy | 3779703665 | Practice locations: Cape Girardeau, MO |
| O20141022000248 | MO | Part B Supplier - Mass Immunization (Roster Biller Only) | 3779703665 | Practice locations: Cape Girardeau, MO |
National Provider Directory
- Tax ID family
- Cape Pharmacy LLC
Locations
465 S Mount Auburn Rd
Ste 101
Cpe Girardeau, MO 63703
Phone (573) 651-5250
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 2012041949 | MO | Yes |
Addresses
Primary practice location
465 S Mount Auburn Rd Ste 101
Cape Girardeau, MO 63703-4931
Mailing address
465 S Mount Auburn Rd Ste 101
Cape Girardeau, MO 63703-4931
Phone (573) 651-5250
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600002981 | Medicaid | MO | |
| 2138274 | Other | PK |
Other names
- MediCenter Pharmacy
Other providers in Cape Girardeau, MO
- Cape Home Oxygen, LLC
- Cape Laboratory & Pathology, LC
- Cape Neurological Surgeons, P. C.
- Cape Neurosurgical Associates PC
- Cape Pharmacy LLC
- Cape Prosthetics-Orthotics, Inc.
- Cape Radiology Group I LLC
- Cape Radiology Group, P.C.
- Cape Retirement Community, Inc.
- Cape Speech and Swallowing Therapy,LLC.
All providers in Cape Girardeau, MO · Community/Retail Pharmacy in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.