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KINKEAD PHARMACY, INC.
NPI 1033255179
Pharmacy - Community/Retail Pharmacy in Centralia, MO

Active since January 29, 2007CLIA 26D2289668 · Waiver
105 S ALLEN ST, CENTRALIA, MO 65240(573) 682-2155 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kinkead Pharmacy, Inc. NPPES

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

KINKEAD PHARMACY, INC. (NPI 1033255179) is a healthcare organization registered as a community/retail pharmacy in Centralia, Missouri and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through September 12, 2027 and lists Wendy S Kinkead, Pres, as its authorized official.

NPPES Registry Identity

NPI1033255179
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKINKEAD PHARMACY, INC.
Location Address105 S ALLEN STCentralia, MO 65240-1303
Mailing Address105 S Allen StCentralia, MO 65240-1303 · (573) 682-2155
Phone(573) 682-2155
Organization SubpartNo
Authorized OfficialWendy S KinkeadPres · (573) 682-2155
Enumeration DateJanuary 29, 2007
Last NPPES UpdateJanuary 29, 2024
NPPES CertifiedJanuary 29, 2024
✔ NPI 1033255179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MO · 041845
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.
105 S ALLEN ST, Centralia, MO 65240
Open in Google Maps ↗

Other Identifiers 1

Medicaid600050702MO

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 26D2289668

Kinkead Pharmacy, Inc · Centralia, MO
Active · expires Sep 12, 2027
CLIA Number26D2289668
Laboratory TypePharmacy
Certificate Effective DateSeptember 13, 2025
Certificate Expiration DateSeptember 12, 2027
Laboratory DirectorTrevor Kinkead
Laboratory Phone(573) 682-2155
Laboratory LocationKinkead Pharmacy, Inc105 S Allen St, Centralia, MO 65240
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.
69 services69 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.
66 services66 patients

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Kinkead Pharmacy Inc carries, from the Medicare DMEPOS supplier directory.

Kinkead Pharmacy Inc

DMEPOS supplier · Centralia, MO
⋮

Does not accept Medicare assignment

Kinkead Pharmacy Inc has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20646911
Medicare Participant SinceJanuary 1, 1998
Supplier Location105 S Allen StCentralia, MO 65240
Phone(573) 682-2155
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

TREVOR MATTHEW KINKEAD PHARM.D.
Pharmacist
105 S ALLEN ST
CENTRALIA, MO 65240
Boone County (573) 682-2155
DR. MICHELLE PAIGE DAY PHARM D
Pharmacist
105 S ALLEN ST
CENTRALIA, MO 65240
Boone County (573) 682-2155
MRS. WENDY SUE KINKEAD RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
105 S ALLEN ST
CENTRALIA, MO 65240
Boone County (573) 682-2155

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 Kinkead Pharmacy, Inc.'s NPI number?

The NPI number for Kinkead Pharmacy, Inc. is 1033255179. It was assigned to this organization in the NPPES registry on January 29, 2007.

Where is Kinkead Pharmacy, Inc. located?

Kinkead Pharmacy, Inc. is located at 105 S Allen St, Centralia, MO 65240. The listed phone number is (573) 682-2155.

What is Kinkead Pharmacy, Inc.'s specialty?

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

Does Kinkead Pharmacy, Inc. accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Kinkead Pharmacy Inc does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Kinkead Pharmacy, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2289668) is associated with this NPI, valid through September 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kinkead Pharmacy, Inc. 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 50 other insurers list Kinkead Pharmacy, Inc. 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 Kinkead Pharmacy, Inc. was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.