RANDY ACKMAN INC (NPI# 1033250998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033250998 |
| Entity Type | Organization |
| Organization Name | RANDY ACKMAN INC |
| Other Organization Name | RANDYS PBA RX |
| Practice Address |
1012 N Main St Sikeston MO 63801-5044 |
| Practice Telephone | 5734710285 |
| Practice Fax Number | 5734716219 |
| Mailing Telephone | 5734710285 |
| Mailing Fax Number | 5734716219 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2016-12-21 |
| Authorized Official Name | RANDY ACKMAN (PRES) |
| Authorized Official Telephone | 5734710285 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
005751 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2050797 | 01 | |
| MO | 600123905 | 05 | |
| MO | 620123901 | 05 |
| Other Name | Type Code |
|---|---|
| RANDYS PBA RX | Doing Business As Name - Organization |
| Street Address |
1012 N MAIN ST |
| City | SIKESTON |
| State | MO |
| Zip Code | 63801-5044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720079841 | Michael Edward Critchlow | Allergy & Immunology | 1012 N Main St, Sikeston, MO 63801-5044 | 2005-10-31 |
| 1407494057 | Laurie Hutcheson | Social Worker | 1012 N Main St, Sikeston, MO 63801-5097 | 2019-12-13 |
| 1588226468 | Allyson Elizabeth Asmus | Nurse Practitioner | 1012 N Main St, Sikeston, MO 63801-5097 | 2019-07-01 |
| 1497217772 | Melanie Beth Bliese | Nurse Practitioner | 1012 N Main St, Sikeston, MO 63801 | 2019-04-04 |
| 1548729106 | Amber Dawn Towe | Nurse Practitioner | 1012 N Main St, Sikeston, MO 63801 | 2019-03-13 |
| 1013485572 | Saint Francis Medical Center | Psychologist | 1012 N Main St, Sikeston, MO 63801-5044 | 2018-11-02 |
| 1588131338 | Saint Francis Medical Center | Family Medicine | 1012 N Main St, Sikeston, MO 63801-5044 | 2018-10-30 |
| 1043796758 | Lauren Ashley Bissonnette | Nurse Practitioner | 1012 N Main St, Sikeston, MO 63801-5044 | 2018-07-16 |
| 1891286704 | Leisa Y Blissett | Social Worker | 1012 N Main St, Sikeston, MO 63801-5097 | 2018-05-25 |
| 1649781832 | Jordan Duenne | Nurse Practitioner | 1012 N Main St, Sikeston, MO 63801-5044 | 2017-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689285082 | Logan & Seiler Inc | Pharmacy | 102 Hospitality Drive, Suite B, Sikeston, MO 63801 | 2020-08-11 |
| 1992212153 | Sharaye Gilmore | Social Worker | 135 Plaza Dr Suite 102, Sikeston, MO 63801 | 2018-01-09 |
| 1730606385 | Megan Leann Schlosser | Occupational Therapy Assistant | Kenny Rogers Children's Center, 300 Floyd Dr., Sikeston, MO 63801 | 2017-08-24 |
| 1780130930 | Delta South Adult Care Center LLC | Clinic/Center | 640 Colonel George E Day Parkway, Sikeston, MO 63801 | 2016-08-28 |
| 1013236421 | Missouri Delta Medical Center | Clinic/Center | 1013 North Main, Sikeston, MO 63801 | 2010-05-25 |
| 1134361868 | Sikeston Rehab, LLC | Physical Therapy Assistant | 806 S. Kingshighway, Sikeston, MO 63801 | 2009-03-26 |
| 1508066978 | Paula Kaye Beck | Occupational Therapist | 2016 Oklahoma Ave, Sikeston, MO 63801 | 2007-07-23 |
| 1740497551 | James D West | Audiologist | 903 South Kingshighway, Sikeston, MO 63801 | 2007-05-17 |
| 1619190162 | Syed Muhammad Shahab Sayeed | Psychiatry & Neurology | 1008 N Main, Missouri Delta Medical Centre, Sikeston, MO 63801 | 2007-04-11 |
| 1629195607 | Melissa A Stewart | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 106 Dacus, Sikeston, MO 63801 | 2007-03-23 |
| Find all providers in zip 63801 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043628704 | Missouri Delta Medical Center | Pharmacy | 1008 N Main St, Sikeston, MO 63801-5044 | 2014-07-25 |
| 1922190172 | Logan & Seiler Inc. | Pharmacy | 808 E Wakefield Ave, Sikeston, MO 63801-5147 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374629 | Curators of The University of Missouri | Pharmacy | 7115 East St. Charles Road, Columbia, MO 65202 | 2020-10-21 |
| 1376141143 | Phillips Pharmacy, LLC | Pharmacy | 7278 State Highway 14 E, Sparta, MO 65753-9345 | 2020-10-14 |
| 1013527761 | Rpcs, Inc. | Pharmacy | 18128 State Hwy 13, Branson West, MO 65737 | 2020-08-07 |
| 1205446184 | Rpcs, Inc. | Pharmacy | 200 Southtowne Blvd, Hollister, MO 65672-9610 | 2020-08-05 |
| 1912517897 | Rpcs, Inc. | Pharmacy | 1447 State Highway 248 Ste J, Branson, MO 65616-8161 | 2020-08-05 |
| 1245849801 | Rpcs Inc | Pharmacy | 163 W Old Mill Rd, Fair Grove, MO 65648-7918 | 2020-07-29 |
| 1760005219 | Meta Pharmacy Solutions | Pharmacy | 108 Triad Ctr W, O Fallon, MO 63366-7541 | 2020-05-19 |
| 1437778172 | Harps Food Stores, Inc | Pharmacy | 707 Specialty Dr, Dexter, MO 63841-2718 | 2020-04-13 |
| 1013540038 | Auburn Pharmacy Inc | Pharmacy | 810 W 35th St Ste 101, Higginsville, MO 64037-1865 | 2020-02-18 |
| 1801428495 | Scpg Missouri LLC | Pharmacy | 501 South Madison Ave, Suite S, Webb City, MO 64870 | 2020-02-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.