Organization Active NPI

Missouri Cancer Associates LLC

Doing business as Missouri Cancer Care Pharmacy

  • Pharmacy
  • Columbia, MO
National Provider Identifier
1992871719
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
2000151351 Issued in MO
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, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MISSOURI CANCER ASSOCIATES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Authorized official

Name
Dr. Michael Perkins, PHARMDNPI 1043969827
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
608518809MedicaidMO

Other names 1

  • Missouri Cancer Care Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These 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

SupplierSuppliesMedicare assignment
Missouri Cancer Care Pharmacy1705 E Broadway, Columbia, MO 65201-7167(573) 874-7800 Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jan 1, 2000

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.

View all 24

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

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.

Verify at the official NPI Registry.