Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUMMERS PHARMACY OF NEVADA LLC
NPI 1013081090
Pharmacy - Community/Retail Pharmacy in Nevada, MO

Q: What is Summers Pharmacy Of Nevada LLC's NPI number?

The NPI number for Summers Pharmacy Of Nevada LLC is 1013081090. It was assigned to this organization in the NPPES registry on November 20, 2006.

Q: What is Summers Pharmacy Of Nevada LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since November 20, 2006CLIA Certified · 2 labs

900 S ADAMS ST, NEVADA, MO 64772(417) 667-6044(417) 667-0544 Get Directions Write a Review

NPPES record last updated: July 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2019, Jan 10, 2019, Mar 16, 2018 and 1 more (4 updates tracked since 2016).

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About Summers Pharmacy Of Nevada Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUMMERS PHARMACY OF NEVADA LLC (NPI 1013081090) is a healthcare organization registered as a community/retail pharmacy in Nevada, Missouri and active in the NPI registry since November 2006. The organization holds 2 active CLIA laboratory certificates and lists Ryan Summers, President, as its authorized official.

NPPES Registry Identity

NPI1013081090

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameSUMMERS PHARMACY OF NEVADA LLC

Location Address900 S ADAMS STNevada, MO 64772-3210

Mailing Address605 Pawnee StClinton, MO 64735-2757 · (417) 667-6044 · Fax (417) 667-0544

Phone(417) 667-6044

Fax(417) 667-0544

Organization SubpartYesParent: Summers Pharmacy Enterprises, Corp

Authorized OfficialRyan SummersPresident · (660) 885-3034

Enumeration DateNovember 20, 2006

Last NPPES UpdateJuly 3, 20264 updates tracked since enumeration

NPPES CertifiedJuly 3, 2026

✔ NPI 1013081090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedPharmacyTaxonomy 333600000X · License 2016010547 (MO)

900 S ADAMS ST, Nevada, MO 64772

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Other Identifiers 2

Medicaid600447304MO

Other2159366Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2247076

Summers Pharmacy Of Nevada, LLC · Nevada, MO

Active · expires Jan 3, 2028

CLIA Number26D2247076

Laboratory TypePharmacy

Certificate Effective DateJanuary 4, 2026

Certificate Expiration DateJanuary 3, 2028

Laboratory DirectorRyan Summers

Laboratory Phone(417) 667-6044

Laboratory LocationSummers Pharmacy Of Nevada, LLC900 S Adams St, Nevada, MO 64772

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D2198422

Summers Pharmacy · Clinton, MO

Active · expires Nov 1, 2026

CLIA Number26D2198422

Laboratory TypePharmacy

Certificate Effective DateNovember 2, 2024

Certificate Expiration DateNovember 1, 2026

Laboratory DirectorRyan Summers

Laboratory Phone(660) 885-3034

Laboratory LocationSummers Pharmacy605 Pawnee, Clinton, MO 64735

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

11 services11 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

11 services11 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEVADA MEDICAL CLINIC L.L.C.

Clinic/Center (Rural Health)