Park Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PARK PHARMACY, LLC

Practice address

37 Doctors Park Ste 2
Cape Girardeau, MO 63703-4903

Phone

(573) 334-4432

NPI assigned

Aug 22, 2017

Last updated

Aug 22, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Wood, PHARMDNPI 1952607012

Title

Owner

Phone

(573) 335-8207

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Kevin Wood, PHARMD

  • Pharmacist
  • Cape Girardeau, MO
  • NPI 1952607012
  Authorized official Same address or phone

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503360000000",
    "number": "1760908636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 BROADWAY ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637015514",
            "telephone_number": "573-335-8207",
            "fax_number": "573-335-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 DOCTORS PARK STE 2",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034903",
            "telephone_number": "573-334-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-22",
        "last_updated": "2017-08-22",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-335-8207",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emilee Lynn Palmer-Bakersmith, LPC
• Allison Danielle Palmer, BCBA
• Bobbi J Palmer, FNP-C
• Lori Alyse Palmer, LBSW
• Charles H Pancoast, MD
• Frederic C Park III, MD
• Kee Bum Park, MD
• Derrall Shawn Parker, M.D.
• Linda Parker
• Scott Andrew Parker, MS, ATC

• Community/Retail Pharmacy in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2017; 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.