Missouri Delta Medical Center
NPI 1184217077ActiveOrganization· Pharmacy· Sikeston, MO
Pharmacy in Sikeston, Missouri, registered in NPPES in February 2021, part of Missouri Delta Medical Center. The authorized official on file is Maura Elis Russell, Secretary. Enrolled in Medicare as part b supplier - pharmacy.
Overview
| NPI | 1184217077 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Missouri Delta Medical Center |
| NPI issued | Feb 11, 2021 |
| Last updated in NPPES | Oct 29, 2025 |
| Certified by provider | Oct 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Pharmacy (MO) |
|---|
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