NPIMap

Organization Active NPI

Parkland Pharmacy Development LLC

Doing business as Parkland Pharmacy

  • Community/Retail Pharmacy
  • Piedmont, MO
National Provider Identifier
1861038994
Registry record updated Jan 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PARKLAND PHARMACY DEVELOPMENT LLC
Doing business as
Parkland Pharmacy
Practice address
420 Piedmont Ave
Piedmont, MO 63957-1024
Phone
(573) 223-4235
Fax
(573) 431-3833
NPI assigned
Nov 25, 2019
Last updated
Jan 25, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PARKLAND PHARMACY DEVELOPMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 25, 2025

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

Authorized official

Name
Lisa Kay Umfleet, RPHNPI 1528168689
Title
Owner
Phone
(573) 431-6677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

420 Piedmont Ave
Piedmont, MO 63957-1024

Mailing address

1131 N Desloge Dr
Desloge, MO 63601-2936
Phone (573) 431-6677

Other names 1

  • Parkland Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200219000891 MO DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 8325284714 Practice locations: Piedmont, 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).

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Part of
Parkland Pharmacy LLC

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737763200000",
    "number": "1861038994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 N DESLOGE DR",
            "city": "DESLOGE",
            "state": "MO",
            "postal_code": "636012936",
            "telephone_number": "573-431-6677",
            "fax_number": "573-431-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 PIEDMONT AVE",
            "city": "PIEDMONT",
            "state": "MO",
            "postal_code": "639571024",
            "telephone_number": "573-223-4235",
            "fax_number": "573-431-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKLAND PHARMACY DEVELOPMENT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARKLAND PHARMACY DEVELOPMENT",
        "enumeration_date": "2019-11-25",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-25",
        "status": "A",
        "authorized_official_last_name": "UMFLEET",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-431-6677",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkland Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Piedmont, MO

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.

Verify at the official NPI Registry.