Active NPI
Cape Pharmacy LLC
Doing business as MediCenter Pharmacy
- Community/Retail Pharmacy
- Cape Girardeau, MO
National Provider Identifier
1609120484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2012041949
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 2
| 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 |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba MediCenter Pharmacy 2220
- Community/Retail Pharmacy
- Scott City, MO
- NPI 1396726246
3779703665
National Provider Directory
National Provider Directory- Tax ID family
- Cape Pharmacy LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba MediCenter Pharmacy 2220
- Long Term Care Pharmacy
- Scott City, MO
- NPI 1215632294
-
dba MediCenter Pharmacy 2220
- Community/Retail Pharmacy
- Scott City, MO
- NPI 1396726246
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
- Cape Home Oxygen, LLC (A Plus Medical Equipment)
- Cape Laboratory & Pathology, LC
- Cape Neurological Surgeons, P. C.
- Cape Neurosurgical Associates PC
- Cape Pharmacy LLC (MediCenter Pharmacy)
- Cape Prosthetics-Orthotics, Inc. (NovaCare Prosthetics & Orthotics)
- Cape Radiology Group I LLC
- Cape Radiology Group, P.C.
- Cape Retirement Community, Inc. (Chateau Girardeau)
- Cape Speech and Swallowing Therapy,LLC.
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.