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ST. JOHN'S PHARMACY-ROLLA
NPI 1043308497
Pharmacist in Rolla, MO

Active since October 11, 2006
1100 WEST 10TH STREET, SUITE 150, ROLLA, MO 65401(573) 426-4931(573) 426-4932 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St. John's Pharmacy-rolla NPPES

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

ST. JOHN'S PHARMACY-ROLLA (NPI 1043308497) is a healthcare organization registered as a pharmacist in Rolla, Missouri and active in the NPI registry since October 2006. The organization lists Rob D Shockley, Retail Pharmacy Coordinator, as its authorized official.

NPPES Registry Identity

NPI1043308497
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameST. JOHN'S CLINIC INC
Location Address1100 WEST 10TH STREET, SUITE 150Rolla, MO 65401
Mailing Address1100 West 10th Street, Suite 150Rolla, MO 65401 · (573) 426-4931 · Fax (573) 426-4932
Phone(573) 426-4931
Fax(573) 426-4932
Organization SubpartNo
Authorized OfficialRob D ShockleyRetail Pharmacy Coordinator · (417) 820-6624
Enumeration DateOctober 11, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1043308497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in MO · 2006027507
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
1100 WEST 10TH STREET, Rolla, MO 65401
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Other Names 1

Doing Business AsSt. John's Pharmacy-rolla

Other Identifiers 1

MedicaidPENDINGMO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 St. John's Clinic Inc's NPI number?

The NPI number for St. John's Clinic Inc is 1043308497. It was assigned to this organization in the NPPES registry on October 11, 2006. The provider is doing business as St. John's Pharmacy-Rolla.

Where is St. John's Clinic Inc located?

St. John's Clinic Inc is located at 1100 West 10th Street Suite 150, Rolla, MO 65401. The listed phone number is (573) 426-4931.

What is St. John's Clinic Inc's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for St. John's Clinic Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.