QUEEN CITY PHARMACIES, LLC NPI 1013089804
Pharmacy - Community/Retail Pharmacy in Springfield, MO

About QUEEN CITY PHARMACIES, LLC

Queen City Pharmacies, Llc is a provider established in Springfield, Missouri operating as a Pharmacy with a focus in community/retail pharmacy . The NPI number of Queen City Pharmacies, Llc is 1013089804 and was assigned on November 2006. The practitioner's primary taxonomy code is 3336C0003X with license number 2017031169 (MO). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Medicenter Pharmacy. The authorized official of this NPI record is Rebekah Ann Rose (Operations Manager)

NPI
1013089804
Provider NameQUEEN CITY PHARMACIES, LLC
Location Address1474 N BOONVILLE AVE SPRINGFIELD, MO 65802
Location Phone(417) 869-1866
Mailing Address1474 N BOONVILLE AVE SPRINGFIELD, MO 65802
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameMEDICENTER PHARMACY
Other Name TypeDoing Business As (3)
Enumeration Date11-15-2006
Last Update Date05-01-2019



The CLIA number of Queen City Pharmacies, Llc is 26D2187889 registered as a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Queen City Pharmacies, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code3336C0003X
ClassificationPharmacy
TypeSuppliers
SpecializationCommunity/Retail Pharmacy
License No.2017031169
License StateMO
Taxonomy DescriptionA 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.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

QUEEN CITY PHARMACIES, LLC
1474 N BOONVILLE AVE
SPRINGFIELD, MO
ZIP 65802
Phone: (417) 869-1866
Fax: (417) 869-6601

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Mailing Address

QUEEN CITY PHARMACIES, LLC
1474 N BOONVILLE AVE
SPRINGFIELD, MO
ZIP 65802
Phone: (417) 869-1866
Fax: (417) 869-6601


Location Map

Authorized Official

The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official Name REBEKAH ANN ROSE
Authorized Official TitleOPERATIONS MANAGER
Authorized Official Phone(417) 881-8841

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1013089804 is:

CLIA Number26D2187889
Facility TypePHARMACY
Certificate TypeCertificate of Waiver

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1333600000XSuppliersPharmacyNo

Taxonomy Description: a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

23336C0003XSuppliersPharmacyCommunity/Retail Pharmacy006537MONo

Taxonomy Description: 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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
600051320MEDICAID (05)MO
2603810OTHER (01)NCPDP PROVIDER IDENTIFICATION NUMBER

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013089804
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023081880
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 1 + 8 + 8 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1013089804 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1649677196 REX PHIPPS
Individual
Pharmacist1474 N BOONVILLE AVE
SPRINGFIELD, MO 65802
(417) 869-1866
1548887797 CHRIS CRAIN PHARMACIST
Individual
Pharmacist1474 N BOONVILLE AVE
SPRINGFIELD, MO 65802
(417) 869-1866

Frequently Asked Questions

What is QUEEN CITY PHARMACIES, LLC NPI number?

The NPI number assigned to QUEEN CITY PHARMACIES, LLC is 1013089804, registered as an "organization" on November 15, 2006

Where is QUEEN CITY PHARMACIES, LLC located?

The provider is located at 1474 N Boonville Ave Springfield, Mo 65802 and the phone number is (417) 869-1866

What kind of medical provider is QUEEN CITY PHARMACIES, LLC?

This medical organization specializes in Pharmacy with a focus in Community/Retail Pharmacy

What insurance does QUEEN CITY PHARMACIES, LLC accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

What is QUEEN CITY PHARMACIES, LLC CLIA number?

The provider's CLIA number is 26D2187889 for a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

How do I update my NPI information?

The NPI record of QUEEN CITY PHARMACIES, LLC was last updated on November 15, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]