St. John's Clinic Inc
NPI 1043308497ActiveOrganization· Pharmacist· Rolla, MO
Pharmacist in Rolla, Missouri, registered in NPPES in October 2006. The authorized official on file is Rob D. Shockley, RPH, Retail Pharmacy Coordinator.
Overview
| NPI | 1043308497 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 11, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 2006027507 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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