NPIMap

Organization Active NPI

Phelps County Regional Medical Center

  • Specialty Pharmacy
  • Rolla, MO
National Provider Identifier
1689508673
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
PHELPS COUNTY REGIONAL MEDICAL CENTER
Practice address
1050 W 10TH St, Suite 100
Rolla, MO 65401-2905
Phone
(573) 458-3360
Fax
(573) 458-3362
NPI assigned
Jun 12, 2026
Last updated
Jun 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Authorized official

Name
Kreig L Moore, R.PH., 340ACE
Title
Exec Dir 340B & Pharm Buss Strategy
Phone
(573) 458-7892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

1050 W 10TH St, Suite 100
Rolla, MO 65401-2905

Mailing address

1000 W 10TH St
Rolla, MO 65401-2905
Phone (573) 458-7892

National Provider Directory

National Provider Directory
Tax ID family
Shirley Eyman10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

1050 W 10th St
Ste 100
Rolla, MO 65401
Phone (573) 458-3360

NPI Registry JSON

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

{
    "created_epoch": "1781222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1689508673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W 10TH ST",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012905",
            "telephone_number": "573-458-7892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W 10TH ST, SUITE 100",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012905",
            "telephone_number": "573-458-3360",
            "fax_number": "573-458-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHELPS COUNTY REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-12",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KREIG",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXEC DIR 340B & PHARM BUSS STRATEGY",
        "authorized_official_telephone_number": "573-458-7892",
        "authorized_official_credential": "R.PH., 340ACE"
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolla, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.