Central Pharmacy

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

License

6274 Issued in MO

Legal business name

CENTRAL PHARMACY

Practice address

1611 Lurlyn Dr
Poplar Bluff, MO 63901-2763

Phone

(573) 785-7708

Fax

(573) 785-7700

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

John Robinson

Title

Pharmacist in Charge

Phone

(573) 785-7708

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1639213267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 LURLYN DR",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 LURLYN DR",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012763",
            "telephone_number": "573-785-7708",
            "fax_number": "573-785-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "573-785-7708"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "MO",
            "license": "6274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "608722906",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic Pharmacy in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Clinic Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.