Innovative Pharmacy Services, LLC
NPI 1902590557ActiveOrganization· Pharmacy, Specialty Pharmacy· Overland, MO
Pharmacy, Specialty Pharmacy in Overland, Missouri, registered in NPPES in June 2023, part of Innovative Pharmacy Services, LLC. The authorized official on file is Amy Mulderry, President.
Overview
| NPI | 1902590557 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Innovative Pharmacy Services, LLC |
| NPI issued | Jun 6, 2023 |
| Last updated in NPPES | Nov 12, 2024 |
| Certified by provider | Nov 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Specialty Pharmacy Primary | 3336S0011X | — | — |
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 |
|---|