BIG BEND PHARMACY
NPI 1104571363
Pharmacy - Community/Retail Pharmacy in Manchester, MO

Q: What is Puremeds LLC's NPI number?

The NPI number for Puremeds LLC is 1104571363. It was assigned to this organization in the NPPES registry on February 16, 2022. The provider is doing business as Big Bend Pharmacy.

Q: What is Puremeds LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Puremeds LLC was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 16, 2022CLIA 26D2258415 · Waiver

659 BIG BEND RD, MANCHESTER, MO 63021(636) 438-5095 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2022, Feb 18, 2022 (2 updates tracked since 2022).

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About Big Bend Pharmacy NPPES

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

BIG BEND PHARMACY (NPI 1104571363) is a healthcare organization registered as a community/retail pharmacy in Manchester, Missouri and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through April 20, 2028 and lists Hareesh Kumar Reddy Palli, Pharmacy Manager/owner, as its authorized official.

NPPES Registry Identity

NPI1104571363

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NamePUREMEDS LLC

Location Address659 BIG BEND RDManchester, MO 63021-7723

Mailing Address659 Big Bend RdManchester, MO 63021-7723 · (636) 438-5095

Phone(636) 438-5095

Organization SubpartNo

Authorized OfficialHareesh Kumar Reddy PalliPharmacy Manager/owner · (314) 359-2389

Enumeration DateFebruary 16, 2022

Last NPPES UpdateMarch 23, 20222 updates tracked since enumeration

NPPES CertifiedMarch 23, 2022

✔ NPI 1104571363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.

Also ListedPharmacyTaxonomy 333600000X

Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X

659 BIG BEND RD, Manchester, MO 63021

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Other Names 1

Doing Business AsBig Bend 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 26D2258415

Puremeds LLC (dba-Big Bend Pharmacy) · Manchester, MO

Active · expires Apr 20, 2028

CLIA Number26D2258415

Laboratory TypePharmacy

Certificate Effective DateApril 21, 2026

Certificate Expiration DateApril 20, 2028

Laboratory DirectorHareesh Kumar Reddy Palli

Laboratory Phone(636) 438-5095

Laboratory LocationPuremeds LLC (dba-Big Bend Pharmacy)659 Big Bend Rd, Manchester, MO 63021

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.

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.

151 services151 patients

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.

151 services151 patients

Other Providers at the Same Location NPPES

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

HAREESH KUMAR REDDY PALLI RPH

Pharmacist

659 BIG BEND RD
MANCHESTER, MO 63021

St. Louis County (636) 438-5095

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 Puremeds LLC's NPI number?

The NPI number for Puremeds LLC is 1104571363. It was assigned to this organization in the NPPES registry on February 16, 2022. The provider is doing business as Big Bend Pharmacy.

Where is Puremeds LLC located?

Puremeds LLC is located at 659 Big Bend Rd, Manchester, MO 63021. The listed phone number is (636) 438-5095.

What is Puremeds LLC's specialty?

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

Does Puremeds LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2258415) is associated with this NPI, valid through April 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Puremeds 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 Puremeds 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 Puremeds LLC was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.