PHYSICIANS PARK PHARMACY LTC
NPI 1780830455
Pharmacy - Long Term Care Pharmacy in Poplar Bluff, MO
NPI Status: Active since August 14, 2008
Contact Information
225 PHYSICIANS PARK
STE 100A
POPLAR BLUFF, MO
ZIP 63901
Phone: (573) 778-9238
Fax: (573) 778-9582
- Organization
- Pharmacy
- Long Term Care Pharmacy
About PHYSICIANS PARK PHARMACY LTC
This page provides the complete NPI Profile along with additional information for Physicians Park Pharmacy Ltc, a provider established in Poplar Bluff, Missouri operating as a Pharmacy, focusing in long term care pharmacy . The healthcare provider is registered in the NPI registry with number 1780830455 assigned on August 2008. The practitioner's primary taxonomy code is 3336L0003X with license number 2008022112 (MO). The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Physicians Park Pharmacy Ltc. The authorized official of this NPI record is Roy Winters (Pic)
- NPI
- 1780830455
- Provider Legal Name
- PHYSICIAN PARK INVESTMENT COMPANY
- Other Organization Name
- PHYSICIANS PARK PHARMACY LTC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 225 PHYSICIANS PARK STE 100A POPLAR BLUFF, MO 63901
- Location Phone
- (573) 778-9238
- Location Fax
- (573) 778-9582
- Mailing Address
- 225 PHYSICIANS PARK STE 100A POPLAR BLUFF, MO 63901
- Mailing Phone
- (573) 778-9238
- Mailing Fax
- (573) 778-9582
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-14-2008
- Last Update Date
- 09-13-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy Long Term Care Pharmacy
- Taxonomy Code
- 3336L0003X
- Type
- Suppliers
- License No.
- 2008022112
- License State
- MO
- Taxonomy Description
- A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2638142 | OTHER (01) | NCPDP PROVIDER IDENTIFICATION NUMBER |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 8 | 0 | 8 | 3 | 0 | 4 | 5 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 16 | 0 | 16 | 3 | 0 | 4 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 6 + 0 + 1 + 6 + 3 + 0 + 4 + 1 + 0 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1780830455 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1700864360 | JANET I KINWORTHY FNP Individual | Nurse Practitioner (Family) | 225 PHYSICIANS PARK SUITE 400 POPLAR BLUFF, MO 63901 (573) 727-5500 |
| 1629022215 | INTERNAL MEDICINE ASSOCIATES OF SOUTHEAST MISSOURI LLC Organization | Internal Medicine | 225 PHYSICIANS PARK SUITE 400 POPLAR BLUFF, MO 63901 (573) 727-5500 |
| 1598718355 | INTERNAL MEDICINE ASSOCIATES OF SOUTHEAST MISSOURI LLC Organization | Clinic/Center (Rural Health) | 225 PHYSICIANS PARK SUITE 400 POPLAR BLUFF, MO 63901 (573) 727-5500 |
| 1831145911 | DR. DONALD S PILAND M.D. Individual | Internal Medicine | 225 PHYSICIANS PARK SUITE 400 POPLAR BLUFF, MO 63901 (573) 727-5500 |
| 1144451063 | INTERNAL MEDICINE ASSOCIATES OF SOUTHEAST MISSOURI LLC Organization | Clinic/Center (Rural Health) | 225 PHYSICIANS PARK POPLAR BLUFF, MO 63901 (573) 727-5500 |
| 1609157403 | JOYCE A BARKLOW FNP Individual | Nurse Practitioner (Family) | 225 PHYSICIANS PARK SUITE 203 POPLAR BLUFF, MO 63901 (573) 686-4750 |
| 1386998318 | BLACK RIVER MEDICAL GROUP, LLC Organization | Surgery | 225 PHYSICIANS PARK SUITE 204 POPLAR BLUFF, MO 63901 (573) 785-4601 |
| 1922399849 | ALEXANDRA DENISE RUSSELL DPT Individual | Physical Therapist | 225 PHYSICIANS PARK SUITE 101 POPLAR BLUFF, MO 63901 (573) 778-9348 |
| 1932316940 | MR. MICHAEL T HIMMELMAN PT Individual | Physical Therapist | 225 PHYSICIANS PARK SUITE 101 POPLAR BLUFF, MO 63901 (573) 778-9348 |
| 1427005792 | SONYA D DICIRO F.N.P. Individual | Nurse Practitioner | 225 PHYSICIANS PARK SUITE 400 POPLAR BLUFF, MO 63901 (573) 727-5500 |
| 1366536849 | MRS. PHYLLIS ANN HANSEN NP Individual | Nurse Practitioner | 225 PHYSICIANS PARK SUITE 203 POPLAR BLUFF, MO 63901 (573) 686-4750 |
| 1275991861 | SOUTHERN CARE AND COMFORT IN HOME AGENCY, LLC Organization | In Home Supportive Care | 225 PHYSICIANS PARK SUITE 301 POPLAR BLUFF, MO 63901 (573) 686-2273 |
| 1134589625 | SSM NEUROSCIENCES, INC. Organization | Neurological Surgery | 225 PHYSICIANS PARK SUITE 102 POPLAR BLUFF, MO 63901 (636) 496-3900 |
| 1265712780 | DR. AMBER WHEELER RICHARDSON PHD Individual | Psychologist (Clinical) | 225 PHYSICIANS PARK STE 300 POPLAR BLUFF, MO 63901 (573) 778-0705 |
| 1316486202 | VANESSA ADAMS NP-C Individual | Nurse Practitioner (Family) | 225 PHYSICIANS PARK STE 203 POPLAR BLUFF, MO 63901 (573) 686-4750 |
| 1376008334 | ZACHARY L FERGUSON PA Individual | Physician Assistant | 225 PHYSICIANS PARK POPLAR BLUFF, MO 63901 (573) 686-4750 |
| 1730586777 | MARK GERARD SMITH DPT Individual | Physical Therapist (Orthopedic) | 225 PHYSICIANS PARK SUITE 101 POPLAR BLUFF, MO 63901 (573) 778-9348 |
| 1528012010 | DR. STEPHEN NAGY M.D. Individual | Internal Medicine | 225 PHYSICIANS PARK SUITE 400 POPLAR BLUFF, MO 63901 (573) 727-5500 |
| 1770537367 | DR. MATTHEW J RIFFLE M.D. Individual | Internal Medicine | 225 PHYSICIANS PARK SUITE 400 POPLAR BLUFF, MO 63901 (573) 727-5500 |
| 1114695657 | MRS. VIVIAN JEAN CRITES RN, FNP-BC Individual | Nurse Practitioner (Family) | 225 PHYSICIANS PARK POPLAR BLUFF, MO 63901 (573) 727-5500 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780830455, enumerated in the NPI registry as an "organization" on August 14, 2008
The provider is located at 225 Physicians Park Ste 100a Poplar Bluff, Mo 63901 and the phone number is (573) 778-9238
This medical organization specializes in Pharmacy with taxonomy code 3336L0003X with a focus in Long Term Care Pharmacy
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on August 14, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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