Community Care Pharmacy, LLC
NPI 1528570785ActiveOrganization· Pharmacy, Long Term Care Pharmacy· Desloge, MO
Pharmacy, Long Term Care Pharmacy in Desloge, Missouri, registered in NPPES in October 2017. The authorized official on file is Kellie Thompson, RPH, President.
Overview
| NPI | 1528570785 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 27, 2017 |
| Last updated in NPPES | Jan 14, 2024 |
| Certified by provider | Jan 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Long Term Care Pharmacy Primary | 3336L0003X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pharmacy, Long Term Care Pharmacy providers in Desloge
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