State of Missouri
NPI 1669511093ActiveOrganization· Pharmacy, Institutional Pharmacy· Farmington, MO
Pharmacy, Institutional Pharmacy in Farmington, Missouri, registered in NPPES in February 2007. The authorized official on file is Molly Jane Boeckmann, Director Of Administrative Services.
Overview
| NPI | 1669511093 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 5, 2007 |
| Last updated in NPPES | Aug 28, 2020 |
| Certified by provider | Aug 28, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Institutional Pharmacy Primary | 3336I0012X | 001820 | MO |
| Pharmacy | 333600000X | — | — |
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 |
|---|