Organization
QUEEN CITY PHARMACIES, LLC
Active
Other names
Medicenter Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
REBEKAH ANN ROSE (OPERATIONS MANAGER)
(417) 881-8841
Entity
Organization
Contact information
Practice address
1474 N BOONVILLE AVE, SPRINGFIELD, MO 65802-1806
(417) 869-1866
(417) 869-6601
Mailing address
1474 N BOONVILLE AVE, SPRINGFIELD, MO 65802-1806
(417) 869-1866
(417) 869-6601
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
006537
MO
3336C0003X
Community/Retail Pharmacy
Primary
2017031169
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2603810
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
600051320
—
MO
Enumeration date
11/15/2006
Last updated
05/01/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up