COMMUNITY HEALTH CTR OF CENTRAL MISSOURI
NPI 1013616994
Pharmacy - Community/Retail Pharmacy in Jefferson City, MO

Q: What is Community Health Ctr Of Central Missouri's specialty?

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

Active since February 28, 2023CLIA 26D2196660 · Waiver

1511 CHRISTY DR, JEFFERSON CITY, MO 65101(573) 632-2777(573) 632-0248 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Community Health Ctr Of Central Missouri NPPES

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

COMMUNITY HEALTH CTR OF CENTRAL MISSOURI (NPI 1013616994), doing business as Community Care Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Jefferson City, Missouri and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through October 18, 2026 and lists Crystal Sullivan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1013616994

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameCOMMUNITY HEALTH CTR OF CENTRAL MISSOURI

Location Address1511 CHRISTY DRJefferson City, MO 65101-2854

Mailing Address1511 Christy DrJefferson City, MO 65101-2854 · (573) 632-2777 · Fax (573) 632-0248

Phone(573) 632-2777

Fax(573) 632-0248

Organization SubpartNo

Authorized OfficialCrystal SullivanCeo · (573) 632-2777

Enumeration DateFebruary 28, 2023

NPPES CertifiedFebruary 28, 2023

✔ NPI 1013616994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

1511 CHRISTY DR, Jefferson City, MO 65101

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Other Names 1

Doing Business AsCommunity Care Pharmacy

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 26D2196660

Community Health Center Of Central Missouri · Linn, MO

Active · expires Oct 18, 2026

CLIA Number26D2196660

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateOctober 19, 2024

Certificate Expiration DateOctober 18, 2026

Laboratory DirectorCrystal L. Sullivan

Laboratory Phone(573) 632-2777

Laboratory LocationCommunity Health Center Of Central Missouri316 W Main Street, Linn, MO 65051

CLIA data matches this NPI record on: Phone

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

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.

DR. AMANDA RUDDER PHARMD

Pharmacist