Medley Pharmacy, Inc
NPI 1245746072ActiveOrganization· Pharmacy· Bourbon, MO
Pharmacy in Bourbon, Missouri, registered in NPPES in December 2017, part of Medley Pharmacy, Inc. The authorized official on file is Local Health Missouri Inc, Owner. Medicare paid $4,337 for services to 20 patients in 2024.
Overview
| NPI | 1245746072 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Medley Pharmacy, Inc |
| NPI issued | Dec 15, 2017 |
| Last updated in NPPES | Sep 25, 2024 |
| Certified by provider | Sep 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Long Term Care Pharmacy | 3336L0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 20 |
|---|---|
| Services billed | 58 across 6 procedure codes |
| Paid by Medicare | $4,337 |