Active NPI
Missouri Cancer Associates LLC
Doing business as Missouri Cancer Care Pharmacy
- Pharmacy
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 2000151351
- Legal business name
- MISSOURI CANCER ASSOCIATES LLC
- Doing business as
- Missouri Cancer Care Pharmacy
- Practice address
- 1705 E Broadway
Suite 100
Columbia, MO 65201-7166 - Phone
- (573) 817-8527
- Fax
- (573) 449-4246
- NPI assigned
- Nov 24, 2006
- Last updated
- Nov 24, 2025
- Organization subpart
- Yes
- Parent organization
- MISSOURI CANCER ASSOCIATES LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Perkins, PHARMD
- Title
- Pharmacy Manager
- Phone
- (573) 817-8527
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 2000151351 | MO | Primary |
Addresses
Primary practice location
1705 E Broadway
Suite 100
Columbia, MO 65201-7166
Mailing address
1705 E Broadway Ste 100
Columbia, MO 65201-7167
Phone (573) 817-8527
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 608518809 | Medicaid | MO |
Other names 1
- Missouri Cancer Care Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170822002691 | MO | DME Supplier - Pharmacy | 8729975305 | Practice locations: Columbia, MO |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Missouri Cancer Care Pharmacy | Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider Directory- Part of
- Pamela J Honeycutt MD
Locations
105 N Keene St
Ste 200
Columbia, MO 65201
Phone (573) 874-7800
1705 E Broadway
Ste 100A
Columbia, MO 65201
Phone (573) 874-7800
120 Medical Dr
Hannibal, MO 63401
Phone (573) 406-5800
603 W Pierce St
Kirksville, MO 63501
Phone (660) 785-1050
Practitioners & affiliated clinicians
Practitioners 24
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.
-
- Oncology Pharmacist
- Columbia, MO
- NPI 1043969827
-
- Family Nurse Practitioner
- Columbia, MO
- NPI 1659843530
-
- Hematology & Oncology Physician
- Columbia, MO
- NPI 1407843022
-
- Radiation Oncology Physician
- Hannibal, MO
- NPI 1881682177
-
- Nurse Practitioner
- Columbia, MO
- NPI 1366927980
-
- Radiation Oncology Physician
- Columbia, MO
- NPI 1801214267
-
- Urology Physician
- Columbia, MO
- NPI 1003820150
-
- Anatomic Pathology & Clinical Pathology Physician
- Columbia, MO
- NPI 1497703623
-
- Urology Physician
- Columbia, MO
- NPI 1841782307
-
- Hematology & Oncology Physician
- Columbia, MO
- NPI 1851654818
-
- Acute Care Nurse Practitioner
- Springfield, MO
- NPI 1487495495
-
- Radiation Oncology Physician
- Columbia, MO
- NPI 1568859023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763942400000",
"number": "1992871719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 E BROADWAY STE 100",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652017167",
"telephone_number": "573-817-8527",
"fax_number": "573-449-4246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 E BROADWAY",
"address_2": "SUITE 100",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652017166",
"telephone_number": "573-817-8527",
"fax_number": "573-449-4246"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISSOURI CANCER ASSOCIATES LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MISSOURI CANCER ASSOCIATES LLC",
"enumeration_date": "2006-11-24",
"last_updated": "2025-11-24",
"certification_date": "2025-11-24",
"status": "A",
"authorized_official_last_name": "PERKINS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "573-817-8527",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "MO",
"license": "2000151351",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "608518809",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Missouri Cancer Care Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Columbia, MO
- Marianne J Misiewicz, DPM
- Madhukar Misra, M.D.
- Shamita Misra, M.D.
- Missouri at Home, LLC. (Visiting Angels)
- Missouri Cancer Associates LLC
- Missouri Cancer Associates, LLC (Urology Associates of Central Missouri)
- Missouri Cardiovascular Specialists (Missouri Heart Center)
- Missouri CVS Pharmacy LLC (CVS Pharmacy #18100)
- Missouri CVS Pharmacy LLC (CVS Pharmacy #16067)
- Missouri CVS Pharmacy, L.L.C. (CVS Pharmacy #18080)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.