PARKLAND PHARMACY DEVELOPMENT LLC (NPI# 1053764571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053764571 |
| Entity Type | Organization |
| Organization Name | PARKLAND PHARMACY DEVELOPMENT LLC |
| Other Organization Name | PARKLAND HEALTH MART PHARMACY |
| Practice Address |
1025 E Highway 72 Byp Fredericktown MO 63645-7326 |
| Practice Telephone | 5737836000 |
| Practice Fax Number | 5737836008 |
| Mailing Telephone | 5737836000 |
| Mailing Fax Number | 5737836008 |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2019-12-16 |
| Authorized Official Name | DEBBIE HAMBY (BUSINESS MANAGER) |
| Authorized Official Telephone | 5737836000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
2012034351 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2161997 | 01 |
| Other Name | Type Code |
|---|---|
| Parkland Health Mart Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669814182 | Parkland Pharmacy Development LLC | Durable Medical Equipment & Medical Supplies | 1500 N Highway 21, Ironton, MO 63650-9147 | 2013-07-25 |
| 1366704876 | Parkland Pharmacy Development LLC | Durable Medical Equipment & Medical Supplies | 1025 E Highway 72 Byp, Fredericktown, MO 63645-7326 | 2012-06-11 |
| 1861038994 | Parkland Pharmacy Development LLC | Durable Medical Equipment & Medical Supplies | 420 Piedmont Ave, Piedmont, MO 63957-1024 | 2019-11-25 |
| Street Address |
1025 E HIGHWAY 72 BYP |
| City | FREDERICKTOWN |
| State | MO |
| Zip Code | 63645-7326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366704876 | Parkland Pharmacy Development LLC | Durable Medical Equipment & Medical Supplies | 1025 E Highway 72 Byp, Fredericktown, MO 63645-7326 | 2012-06-11 |
| 1043676927 | John Tedder | Pharmacist | 1025 E Highway 72 Byp, Fredericktown, MO 63645-7326 | 2016-01-08 |
| 1972972958 | Jennifer Berkbigler | Pharmacist | 1025 E Highway 72 Byp, Fredericktown, MO 63645-7326 | 2015-09-19 |
| 1629417340 | Jeremy I Leach | Pharmacist | 1025 E Highway 72 Byp, Fredericktown, MO 63645-7326 | 2013-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093193880 | Emily Engers | Counselor | 206 W Marvin Ave, Fredericktown, MO 63645 | 2015-05-12 |
| 1871823955 | Covenant Care Services, LLC | Custodial Care Facility | 1610 W. Hwy 72, Fredericktown, MO 63645 | 2010-01-12 |
| 1518110279 | East Missouri Action Agency, Inc. | Clinic/Center | 806 West College Rd, Fredericktown, MO 63645 | 2008-10-28 |
| 1679737324 | Linda Carole Cravens | Dentist | 731 W Main St, Guy A Walker Dds, Fredericktown, MO 63645 | 2008-07-11 |
| 1629286976 | Community Health Care Associates, Inc | Social Worker | 735 West Main, Fredericktown, MO 63645 | 2007-05-18 |
| 1467539031 | Madison Medical Center Stockhoff Memorial Nursing Home | Clinic/Center | 611 West Main Street, Fredericktown, MO 63645 | 2006-11-01 |
| 1487749537 | Covenant Care Services, LLC | Registered Nurse | 120 S. Mine Lamotte, Fredericktown, MO 63645 | 2006-10-04 |
| 1215577945 | Modern Mental Health | Community/Behavioral Health | 151 South Main Street, Suite B, Fredericktown, MO 63645 | 2020-01-10 |
| 1235392309 | Humberto Jose Olivero Lara | Family Medicine | 611 West Main Street, Fredericktown, MO 63645 | 2008-07-08 |
| 1003983859 | Madison Memorial Hospital Stockhoff Memorial Nursing Home | Pharmacy | 611 West Main Street, Fredericktown, MO 63645 | 2006-11-29 |
| Find all providers in zip 63645 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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] |
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| 1780298406 | Healthdirect Institutional Pharmacy Services, Inc. | Pharmacy | 4083 N State Highway Nn, Ozark, MO 65721-7201 | 2020-09-01 |
| 1023620838 | Tipton Pharmacy | Pharmacy | 310 Us Highway 50 W, Tipton, MO 65081-8701 | 2020-08-21 |
| 1568095313 | Auburn Pharmacy, Inc. | Pharmacy | 1103 S 169 Hwy, Smithville, MO 64089 | 2020-02-20 |
| 1780229690 | Dalpoas Group Inc | Pharmacy | 4245 Forest Park Ave Ste B, Saint Louis, MO 63108-2810 | 2019-11-14 |
| 1053953109 | Summers Pharmacy of Slater, LLC | Pharmacy | 102 E Maple St, Slater, MO 65349-1539 | 2019-10-10 |
| 1316594328 | Legacy Drugstore LLC | Pharmacy | 13000 Veterans Memorial Pkwy Ste A, Wright City, MO 63390-1012 | 2019-08-23 |
| 1972158673 | Hils Pharmacy Salisbury LLC | Pharmacy | 501 E. 24 Hwy Ste A, Salisbury, MO 65281 | 2019-08-08 |
| 1700342888 | Battlefield Pharmacy | Pharmacy | 4062 W Republic Rd, Battlefield, MO 65619-7108 | 2019-02-14 |
| 1548733769 | Guardian Pharmacy of St. Louis, LLC | Pharmacy | 926 S Highway Dr, Fenton, MO 63026-2023 | 2019-01-10 |
| Find all providers with the same taxonomy | ||||
| City | FREDERICKTOWN |
| Zip Code | 63645 |
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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.