NPIMap

Organization Active NPI

Parkland Pharmacy Development LLC

Doing business as Parkland Pharmacy

  • Community/Retail Pharmacy
  • Greenville, MO
National Provider Identifier
1972109619
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
137 Front St
Greenville, MO 63944
Phone
(573) 223-8062
Fax
(573) 223-8063
NPI assigned
Dec 8, 2020
Last updated
Jan 25, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PARKLAND PHARMACY DEVELOPMENT LLCAs 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
Mrs. Lisa Kay Umfleet, BS PHARMNPI 1528168689
Title
Managing Member
Phone
(573) 431-6677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

137 Front St
Greenville, MO 63944

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 MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 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
Tax ID family
Parkland Pharmacy LLC3 organizations share this tax ID, including this one
Part of
Parkland Pharmacy LLC

Other organizations with this tax ID 2

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

Locations

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737763200000",
    "number": "1972109619",
    "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": "137 FRONT ST",
            "city": "GREENVILLE",
            "state": "MO",
            "postal_code": "63944",
            "telephone_number": "573-223-8062",
            "fax_number": "573-223-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKLAND PHARMACY DEVELOPMENT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARKLAND PHARMACY DEVELOPMENT LLC",
        "enumeration_date": "2020-12-08",
        "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": "MANAGING MEMBER",
        "authorized_official_telephone_number": "573-431-6677",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS PHARM"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkland Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, 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.