Active NPI
Parkland Pharmacy Development LLC
Doing business as Parkland Pharmacy
- Community/Retail Pharmacy
- Ironton, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2013024667
- Legal business name
- PARKLAND PHARMACY DEVELOPMENT LLC
- Doing business as
- Parkland Pharmacy
- Practice address
- 1500 N Highway 21
Ironton, MO 63650-9147 - Phone
- (573) 546-6000
- Fax
- (573) 546-6001
- NPI assigned
- Jul 25, 2013
- Last updated
- Jan 25, 2025
- 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
- Lisa Umfleet, RPH
- Title
- Secretary of LLC, Owner
- Phone
- (573) 747-8333
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 2013024667 | MO | Primary |
Addresses
Primary practice location
1500 N Highway 21
Ironton, MO 63650-9147
Mailing address
1025 Highway 72 Byp
Fredericktown, MO 63645-7326
Phone (573) 783-6000
Other names 1
- Parkland Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140211000109 | MO | DME Supplier - Pharmacy | 8325284714 | Practice locations: Ironton, MO |
| O20140429001695 | MO | Part B Supplier - Mass Immunization (Roster Biller Only) | 8325284714 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fredericktown, MO; Ironton, MO |
| O20200821000797 | MO | Part B Supplier - Pharmacy | 8325284714 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Piedmont, MO; Ironton, MO; Greenville, MO; Fredericktown, MO; Desloge, MO |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Parkland Pharmacy
- Community/Retail Pharmacy
- Fredericktown, MO
- NPI 1366704876
8325284714
-
dba Parkland Pharmacy
- Community/Retail Pharmacy
- Piedmont, MO
- NPI 1861038994
8325284714
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Parkland Pharmacy
- Community/Retail Pharmacy
- Fredericktown, MO
- NPI 1366704876
O20140429001695, O20200821000797
-
dba Parkland Pharmacy
- Community/Retail Pharmacy
- Piedmont, MO
- NPI 1861038994
O20200821000797
-
dba Parkland Pharmacy
- Community/Retail Pharmacy
- Greenville, MO
- NPI 1972109619
O20200821000797
National Provider Directory
National Provider DirectoryLocations
1025 Highway 72 Byp
Fredericktown, MO 63645
Phone (573) 431-6677
1500 N Highway 21
Ironton, MO 63650
Phone (573) 546-6000
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Desloge, MO
- NPI 1528168689
-
- Pharmacist
- Ironton, MO
- NPI 1366356065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737763200000",
"number": "1669814182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 HIGHWAY 72 BYP",
"city": "FREDERICKTOWN",
"state": "MO",
"postal_code": "636457326",
"telephone_number": "573-783-6000",
"fax_number": "573-783-6008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 N HIGHWAY 21",
"city": "IRONTON",
"state": "MO",
"postal_code": "636509147",
"telephone_number": "573-546-6000",
"fax_number": "573-546-6001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKLAND PHARMACY DEVELOPMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-25",
"last_updated": "2025-01-25",
"certification_date": "2025-01-25",
"status": "A",
"authorized_official_last_name": "UMFLEET",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "SECRETARY OF LLC, OWNER",
"authorized_official_telephone_number": "573-747-8333",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MO",
"license": "2013024667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Parkland Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ironton, MO
- Steven F McAdams, D.C.
- Milk & Honey Wellness LLC
- Missouri CVS Pharmacy, L.L.C. (CVS Pharmacy #11206)
- Kathleen Noetzel
- Tricia Parker, MA, PLPC
- Erika Michelle Parks, PHARM.D.
- Scenic View LLC (Valley Residential Care)
- Christopher Shawn Skinner, MA, LPC
- Southeast Missouri Behavioral Health
- Melissa Ann Stetina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2025; 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.