SOUTHEAST HEALTH PHARMACY LLC (NPI# 1396189767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396189767 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST HEALTH PHARMACY LLC |
| Other Organization Name | SOUTHEASTHEALTH PHARMACY |
| Practice Address |
2002 Kanell Blvd Ste 102 Poplar Bluff MO 63901-4045 |
| Mailing Address |
Po Box 989 Poplar Bluff MO 63902-0989 |
| Practice Telephone | 5737781608 |
| Practice Fax Number | 5737781645 |
| Mailing Telephone | 5737781608 |
| Mailing Fax Number | 5737781645 |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2016-02-03 |
| Authorized Official Name | MIKE MCAFEE (PIC) |
| Authorized Official Telephone | 5737781608 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2013001184 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2140112 | 01 |
| Other Name | Type Code |
|---|---|
| SoutheastHEALTH Pharmacy | Doing Business As Name - Organization |
| Street Address |
2002 KANELL BLVD STE 102 |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901-4045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679576300 | Robert C Young | Obstetrics & Gynecology | 2002 Kanell Blvd, Ste 205, Poplar Bluff, MO 63901-4046 | 2005-05-27 |
| 1780927871 | Southeast Health Center of Stoddard County, LLC | Clinic/Center | 2002 Kanell Blvd, Poplar Bluff, MO 63901-4045 | 2013-03-27 |
| 1053659904 | Southeasthealth Hospital Holdings, LLC | Internal Medicine | 2002 Kanell Blvd, Poplar Bluff, MO 63901-4045 | 2013-01-28 |
| 1528336294 | Gary Luther Ward II | Family Medicine | 2002 Kanell Blvd, Suite 106, Poplar Bluff, MO 63901-4045 | 2011-12-08 |
| 1578617189 | Roger Richey | Nurse Practitioner | 2002 Kanell Blvd, Poplar Bluff, MO 63901-4045 | 2007-01-22 |
| 1124195391 | Advanced Healthcare Management Services, LLC | Clinic/Center | 2002 Kanell Blvd, Suite 101, Poplar Bluff, MO 63901-4042 | 2006-11-30 |
| 1659458198 | Jovito Pagkalinawan | Family Medicine | 2002 Kanell Blvd, Poplar Bluff, MO 63901-4045 | 2006-11-01 |
| 1295748465 | Robert C Young | Obstetrics & Gynecology | 2002 Kanell Blvd, Poplar Bluff, MO 63901-4042 | 2006-08-15 |
| 1306802632 | Advanced Health Care Management Services, LLC | Clinic/Center | 2002 Kanell Blvd, Poplar Bluff, MO 63901-4045 | 2006-04-25 |
| 1740246057 | Jimmy D Dachs | Counselor | 2002 Kanell Blvd, Suite 204, Poplar Bluff, MO 63901-4045 | 2006-04-25 |
| 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 | 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 |
|---|---|---|---|---|
| 1780084491 | Harps Food Stores, Inc | Pharmacy | 1301 Shelby Rd, Poplar Bluff, MO 63901-9051 | 2014-08-29 |
| 1679676662 | Walgreen Co | Pharmacy | 110 N Westwood Blvd, Poplar Bluff, MO 63901-4818 | 2006-09-06 |
| 1841674538 | Eastside Pharmacy Inc | Pharmacy | 400 E Pine St, Poplar Bluff, MO 63901 | 2015-07-13 |
| 1477518355 | Advanced Healthcare Management Services, LLC | Pharmacy | 2002 Kanell Blvd, Suite 102, Poplar Bluff, MO 63901-4045 | 2006-04-20 |
| 1306824990 | St Francis Medical Center | Pharmacy | 686 Lester St, Poplar Bluff, MO 63901-5025 | 2006-01-04 |
| 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 | ||||
| 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.