Physician Park Investment Company
NPI 1780830455ActiveOrganization· Pharmacy, Long Term Care Pharmacy· Poplar Bluff, MO
Pharmacy, Long Term Care Pharmacy in Poplar Bluff, Missouri, registered in NPPES in August 2008. The authorized official on file is Roy Winters, Pic.
Overview
| NPI | 1780830455 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 14, 2008 |
| Last updated in NPPES | Sep 13, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Long Term Care Pharmacy Primary | 3336L0003X | 2008022112 | MO |
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 |
|---|
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