Active NPI
Eric Daume, PHARM.D.
- Pharmacist
- Cape Girardeau, MO
National Provider Identifier
1619261724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2008012997
- Practice address
- 202 Siemers Dr
Cape Girardeau, MO 63701-8419 - Phone
- (573) 334-6578
- NPI assigned
- Jun 6, 2011
- Last updated
- Jun 10, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2008012997 | MO | Primary |
Addresses
Primary practice location
202 Siemers Dr
Cape Girardeau, MO 63701-8419
Mailing address
2220 Main St
Scott City, MO 63780-1329
Phone (573) 264-2450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008012997 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cape Pharmacy LLC | Current | Accepting new patients | |
| Missouri CVS Pharmacy LLC | Past | Accepting new patients | |
| Cape Pharmacy, LLC | Past | Accepting new patients | |
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients |
Locations
2220 Main St
Scott City, MO 63780
Phone (573) 264-2450
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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": "1307318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591747200000",
"number": "1619261724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2220 MAIN ST",
"city": "SCOTT CITY",
"state": "MO",
"postal_code": "637801329",
"telephone_number": "573-264-2450",
"fax_number": "573-264-4741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 SIEMERS DR",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637018419",
"telephone_number": "573-334-6578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAUME",
"first_name": "ERIC",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-06",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2008012997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.