Poplar Bluff Pharmacy LLC
NPI 1710842794ActiveOrganization· Pharmacy· Poplar Bluff, MO
Pharmacy in Poplar Bluff, Missouri, registered in NPPES in December 2025. The authorized official on file is Abraham T. Funk, PHARMD, Owner.
Overview
| NPI | 1710842794 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 22, 2025 |
| Last updated in NPPES | Jan 29, 2026 |
| Certified by provider | Jan 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
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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