ST FRANCIS MEDICAL CENTER (NPI# 1306824990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306824990 |
| Entity Type | Organization |
| Organization Name | ST FRANCIS MEDICAL CENTER |
| Other Organization Name | KNEIBERT CLINIC PHARMACY |
| Practice Address |
686 Lester St Poplar Bluff MO 63901-5025 |
| Practice Telephone | 5737787190 |
| Practice Fax Number | 5737787230 |
| Mailing Telephone | 5737787190 |
| Mailing Fax Number | 5737787230 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2017-02-15 |
| Authorized Official Name | TIM ODOM (PHARMACY MANAGER) |
| Authorized Official Telephone | 5737787190 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 2015044893 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2157579 | 01 | |
| MO | 600295406 | 05 |
| Other Name | Type Code |
|---|---|
| KNEIBERT CLINIC PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245227180 | St Francis Medical Center | General Acute Care Hospital | 3630 E Imperial Hwy, Lynwood, CA 90262-2636 | 2005-10-05 |
| 1497124580 | St Francis Medical Center | Internal Medicine | 601 Hamilton Ave, Trenton, NJ 08629-1915 | 2015-09-18 |
| 1134598220 | St Francis Medical Center | Internal Medicine | 601 Hamilton Ave, Trenton, NJ 08629-1915 | 2015-09-18 |
| 1043689136 | St Francis Medical Center | Internal Medicine | 601 Hamilton Ave, Trenton, NJ 08629-1915 | 2015-09-18 |
| 1861861957 | St Francis Medical Center | Radiology | 601 Hamilton Ave, Trenton, NJ 08629-1915 | 2015-09-18 |
| 1851760946 | St Francis Medical Center | Nurse Practitioner | 601 Hamilton Ave, Trenton, NJ 08629-1915 | 2015-09-18 |
| 1952770042 | St Francis Medical Center | Psychiatry & Neurology | 601 Hamilton Ave, Trenton, NJ 08629-1915 | 2015-09-18 |
| 1306215496 | St Francis Medical Center | Internal Medicine | 601 Hamilton Ave, Trenton, NJ 08629-1915 | 2015-09-18 |
| 1689054850 | St Francis Medical Center | Clinic/Center | 601 Hamilton Ave, Trenton, NJ 08629-1915 | 2015-06-03 |
| 1891954574 | St Francis Medical Center | General Acute Care Hospital | 2400 St Francis Dr, Breckenridge, MN 56520-1025 | 2008-06-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST FRANCIS MEDICAL CENTER | 601 Hamilton Ave, Trenton, NJ 08629-1915 |
| Street Address |
686 LESTER ST |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901-5025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598743122 | Jeffry T Till | Social Worker | 686 Lester St, Poplar Bluff, MO 63901 | 2006-01-04 |
| 1083181416 | Elizabeth Ann L'heureux | Nurse Practitioner | 686 Lester St, Poplar Bluff, MO 63901-5025 | 2018-10-24 |
| 1871026005 | Saint Francis Medical Center | Nurse Practitioner | 686 Lester St, Poplar Bluff, MO 63901-5025 | 2017-04-05 |
| 1356706378 | Saint Francis Medical Center | Psychologist | 686 Lester St, Poplar Bluff, MO 63901 | 2015-12-17 |
| 1063808145 | Jennie Mabrey | Hearing Instrument Specialist | 686 Lester St, Poplar Bluff, MO 63901-5025 | 2015-04-15 |
| 1417379488 | Chris E Martin | Social Worker | 686 Lester St, Poplar Bluff, MO 63901-5025 | 2014-01-10 |
| 1740592435 | Michael Dewayne Roach | Family Medicine | 686 Lester St, Poplar Bluff, MO 63901-5025 | 2010-07-09 |
| 1205168374 | Stacey E Bruce | Social Worker | 686 Lester St, Poplar Bluff, MO 63901-5025 | 2010-02-01 |
| 1659606713 | Jill M Mcgruder | Nurse Practitioner | 686 Lester St, Poplar Bluff, MO 63901-5025 | 2009-10-07 |
| 1821240896 | Kneibert Clinic LLC | Clinic/Center | 686 Lester St, Poplar Bluff, MO 63901-5025 | 2008-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
| 1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
| 1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
| 1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
| 1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
| 1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
| 1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
| 1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
| 1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
| Find all providers in zip 63901 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275084865 | Poplar Bluff Pharmacy LLC | Pharmacy | 909 W Pine St, Poplar Bluff, MO 63901-4958 | 2016-10-18 |
| 1023306776 | Advanced Pharmacy | Pharmacy | 2865 James Blvd, Poplar Bluff, MO 63901-2803 | 2011-07-15 |
| 1003102153 | The Other Side Home Health Equipment and Supply | Pharmacy | 909 W Pine St, Poplar Bluff, MO 63901-4958 | 2011-06-27 |
| 1871749549 | B Y Enterprises Inc | Pharmacy | 225 Physicians Park, Ste 100, Poplar Bluff, MO 63901-3935 | 2008-08-14 |
| 1902974140 | Northwest Pharmacy Inc | Pharmacy | 2210 Barron Rd, Poplar Bluff, MO 63901-1908 | 2006-12-04 |
| 1316978430 | K Mart Corp | Pharmacy | 2233 N Westwood Blvd, Poplar Bluff, MO 63901-2332 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506437 | E Health Pharmacy, LLC | Pharmacy | 411d Northview Rd, Nixa, MO 65714-8679 | 2020-10-26 |
| 1750994869 | Script Partner Pharmacy LLC | Pharmacy | 100 Chesterfield Bus Pkwy Ste 279, Chesterfield, MO 63005-1271 | 2020-08-28 |
| 1821600545 | Debbie S Pharmacy LLC | Pharmacy | 815 Hazelwest Dr Ste 100, Hazelwood, MO 63042-1762 | 2020-08-24 |
| 1689285082 | Logan & Seiler Inc | Pharmacy | 102 Hospitality Drive, Suite B, Sikeston, MO 63801 | 2020-08-11 |
| 1023626389 | Lemonaid Community Pharmacy, Inc | Pharmacy | 7580 Watson Rd, Saint Louis, MO 63119-4409 | 2020-07-22 |
| 1689207870 | Washington University Cancer Center Pharmacy - North County | Pharmacy | 1225 Graham Rd Fl 1, Florissant, MO 63031-8012 | 2020-02-17 |
| 1942847413 | Southeast Hospital | Pharmacy | 2600 E. Main Street, Suite 113, Jackson, MO 63755 | 2019-12-04 |
| 1720624323 | Toney Drug & Wellness, LLC | Pharmacy | #1 Hals Plaza Dr, Piedmont, MO 63957 | 2019-11-19 |
| 1427606912 | Medley Pharmacy Inc | Pharmacy | 1024 S Bishop Ave, Rolla, MO 65401-4416 | 2019-08-28 |
| 1013479716 | Cerner Health Connections, Inc. | Pharmacy | 1403 Hampton Avenue, St. Louis, MO 63139 | 2019-04-02 |
| Find all providers with the same taxonomy | ||||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
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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.