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MEDICENTER PHARMACY
NPI 1013089804
Pharmacy - Community/Retail Pharmacy in Springfield, MO

Active since November 15, 2006
1474 N BOONVILLE AVE, SPRINGFIELD, MO 65802(417) 869-1866(417) 869-6601 Get Directions Write a Review

NPPES record last updated: May 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medicenter Pharmacy NPPES

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

MEDICENTER PHARMACY (NPI 1013089804) is a healthcare organization registered as a community/retail pharmacy in Springfield, Missouri and active in the NPI registry since November 2006. The organization lists Rebekah Ann Rose, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1013089804
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameQUEEN CITY PHARMACIES, LLC
Location Address1474 N BOONVILLE AVESpringfield, MO 65802-1806
Mailing Address1474 N Boonville AveSpringfield, MO 65802-1806 · (417) 869-1866 · Fax (417) 869-6601
Phone(417) 869-1866
Fax(417) 869-6601
Organization SubpartNo
Authorized OfficialRebekah Ann RoseOperations Manager · (417) 881-8841
Enumeration DateNovember 15, 2006
Last NPPES UpdateMay 1, 2019
✔ NPI 1013089804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Licenses✔ Licensed in MO · 2017031169✔ Licensed in MO · 006537
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
1474 N BOONVILLE AVE, Springfield, MO 65802
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Other Names 1

Doing Business AsMedicenter Pharmacy

Other Identifiers 2

Medicaid600051320MO
Other2603810Ncpdp Provider Identification Number

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

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 26D2187889

Medicenter Pharmacy · Springfield, MO
Expired · Jul 8, 2026
CLIA Number26D2187889
Laboratory TypePharmacy
Certificate Effective DateJuly 9, 2024
Certificate Expiration DateJuly 8, 2026
Laboratory DirectorTodd M. Codemo
Laboratory Phone(417) 869-1866
Laboratory LocationMedicenter Pharmacy1474 N Boonville, Springfield, MO 65802
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.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
31 services31 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
27 services27 patients

Other Providers at the Same Location NPPES 3

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

QUEEN CITY PHARMACIES, LLC
Pharmacy (Long Term Care Pharmacy)
1474 N BOONVILLE AVE
SPRINGFIELD, MO 65802
Greene County (417) 869-1866
CHRIS CRAIN PHARMACIST
Pharmacist
1474 N BOONVILLE AVE
SPRINGFIELD, MO 65802
Greene County (417) 869-1866
REX PHIPPS
Pharmacist
1474 N BOONVILLE AVE
SPRINGFIELD, MO 65802
Greene County (417) 869-1866

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Queen City Pharmacies, LLC's NPI number?

The NPI number for Queen City Pharmacies, LLC is 1013089804. It was assigned to this organization in the NPPES registry on November 15, 2006. The provider is doing business as Medicenter Pharmacy.

Where is Queen City Pharmacies, LLC located?

Queen City Pharmacies, LLC is located at 1474 N Boonville Ave, Springfield, MO 65802. The listed phone number is (417) 869-1866.

What is Queen City Pharmacies, LLC's specialty?

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

What insurance does Queen City Pharmacies, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers list Queen City Pharmacies, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Queen City Pharmacies, LLC was last updated on May 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.