Organization Active NPI

Cape Pharmacy LLC

Doing business as MediCenter Pharmacy

  • Community/Retail Pharmacy
  • Cape Girardeau, MO
National Provider Identifier
1609120484
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2012041949 Issued in MO
Legal business name
CAPE PHARMACY LLC
Doing business as
MediCenter Pharmacy
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
Last updated
May 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 2012041949 MO Primary

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 names 1

  • MediCenter Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Cape Pharmacy LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1609120484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 S MOUNT AUBURN RD STE 101",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034931",
            "telephone_number": "573-651-5250",
            "fax_number": "573-651-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 S MOUNT AUBURN RD STE 101",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034931",
            "telephone_number": "573-651-5250",
            "fax_number": "573-651-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-01",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "OWNER/OPERATIONS MANAGER",
        "authorized_official_telephone_number": "573-576-6562"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2012041949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MediCenter Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.