Family Pharmacy of Mountain Grove LLC
NPI 1851426852ActiveOrganization· Pharmacy· Mountain Grove, MO
Pharmacy in Mountain Grove, Missouri, registered in NPPES in February 2007. The authorized official on file is Christine Michelle Coffman, Owner/Pharmacist. Medicare paid $16,693 for services to 78 patients in 2024.
Overview
| NPI | 1851426852 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 22, 2007 |
| Last updated in NPPES | Nov 18, 2024 |
| Certified by provider | Nov 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 200059684 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (MO); Part B Supplier - Mass Immunization (Roster Biller Only) (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 78 |
|---|---|
| Services billed | 223 across 9 procedure codes |
| Paid by Medicare | $16,693 |