Phelps County Regional Medical Center
Organization Active NPI Specialty Pharmacy · Rolla, MO
NPI 1689508673 · NPPES record last updated Jun 12, 2026
Key facts
- NPI
- 1689508673
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialty Pharmacy 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
- Organization subpart
- No
Authorized official
- Name
- Kreig L Moore, R.PH., 340ACE
- Title
- Exec Dir 340B & Pharm Buss Strategy
- Phone
- (573) 458-7892
Corporate family (same tax ID) 9
National Provider Directory
- Tax ID family
- Phelps County
Locations
1050 W 10th St
Ste 100
Rolla, MO 65401
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialty Pharmacy | 3336S0011X | Yes |
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
Other providers in Rolla, MO
- Phelps County Regional Medical Center
- Phelps County Regional Medical Center
- Phelps County Regional Medical Center
- Phelps County Regional Medical Center
- Phelps County Regional Medical Center
- Phelps County Regional Medical Center
- Phelps County Regional Medical Center
- Tracy Phenix
- Mary Jane Phifer
- Madeleine A Philpot
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.