Queen City Pharmacies, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

201703117D Issued in MO

Legal business name

QUEEN CITY PHARMACIES, LLC

Practice address

811 E. Division Street
Springfield, MO 65803-3114

Phone

(417) 866-3054

Fax

(417) 866-1250

NPI assigned

Nov 15, 2006

Last updated

Mar 7, 2023By 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

Mr. Eric J Schreiber

Title

Manager/Member

Phone

(612) 965-5506

Specialties & licenses 5

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Queen City Pharmacies, LLC

  dba Medicenter Pharmacy

  • Community/Retail Pharmacy
  • Springfield, MO
  • NPI 1013089804

  O20170914002179

  Same enrollment

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.

• Jeremy Popek, PHARMD,R.PH.

  • Pharmacist
  • Springfield, MO
  • NPI 1194121202
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1770655391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 E. DIVISION STREET",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658033114",
            "telephone_number": "417-866-3054",
            "fax_number": "417-866-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 E. DIVISION STREET",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658033114",
            "telephone_number": "417-866-3054",
            "fax_number": "417-866-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN CITY PHARMACIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SCHREIBER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "612-965-5506",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MO",
            "license": "005536",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "201703117D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601741507",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2628494",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Queen City Anesthesia Group, LLC
• Queen City Anesthesia Group, LLC
• Queen City Anesthesia Group, LLC
• Queen City Pharmacies, LLC (Medicenter Pharmacy)
• Queen City Pharmacies, LLC (Medicenter Pharmacy)
• Megan Rene Quella, NP
• Sara Elizabeth Quick, MS, LPC
• Quiet Strength Counseling, LLC
• Albin Quiko, MD
• Elizabeth Quinn, PT, DPT

• Community/Retail Pharmacy in Springfield, MO
• Providers in Springfield, 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 Mar 7, 2023; 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.

Verify at the official NPI Registry.