Medley Pharmacy, Inc
NPI 1972017911ActiveOrganization· Pharmacy· Sullivan, MO
Pharmacy in Sullivan, Missouri, registered in NPPES in November 2017, part of Medley Pharmacy, Inc. The authorized official on file is Local Health Missouri Inc, Owner. Medicare paid $12,335 for services to 49 patients in 2024.
Overview
| NPI | 1972017911 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Medley Pharmacy, Inc |
| NPI issued | Nov 29, 2017 |
| Last updated in NPPES | Sep 25, 2024 |
| Certified by provider | Sep 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Long Term Care Pharmacy | 3336L0003X | — | — |
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) | Enrolled DME Supplier - Pharmacy (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 49 |
|---|---|
| Services billed | 160 across 9 procedure codes |
| Paid by Medicare | $12,335 |
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