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POPLAR BLUFF PHARMACY LLC
NPI 1275084865
Pharmacy - Community/Retail Pharmacy in Poplar Bluff, MO

Active since October 18, 2016
909 W PINE ST, POPLAR BLUFF, MO 63901(573) 785-0984(573) 785-2257 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 19, 2025, Jun 11, 2024, Nov 8, 2019 and 3 more (6 updates tracked since 2016).

About Poplar Bluff Pharmacy Llc NPPES

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

POPLAR BLUFF PHARMACY LLC (NPI 1275084865), doing business as John's Pharmacy Poplar Bluff, is a healthcare organization registered as a community/retail pharmacy in Poplar Bluff, Missouri and active in the NPI registry since October 2016. The organization lists Abraham Funk, Owner, as its authorized official.

NPPES Registry Identity

NPI1275084865
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePOPLAR BLUFF PHARMACY LLC
Location Address909 W PINE STPoplar Bluff, MO 63901-4958
Mailing Address2007 Independence StCape Girardeau, MO 63703-5805 · (573) 785-0984 · Fax (573) 785-2257
Phone(573) 785-0984
Fax(573) 785-2257
Organization SubpartNo
Authorized OfficialAbraham FunkOwner · (573) 785-0984
Enumeration DateOctober 18, 2016
Last NPPES UpdateSeptember 19, 20256 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
✔ NPI 1275084865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MO · 2016042382
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 · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
909 W PINE ST, Poplar Bluff, MO 63901
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Other Names 1

Doing Business AsJohn's Pharmacy Poplar Bluff

Other Identifiers 2

Medicaid600059703MO
Other2166615Pk

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 ›

Other Providers at the Same Location NPPES 6

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

THE OTHER SIDE HOME HEALTH EQUIPMENT AND SUPPLY
Pharmacy
909 W PINE ST
POPLAR BLUFF, MO 63901
Butler County (573) 785-4300
AFTAN SWINDLE PHARMD
Pharmacist
909 W PINE ST
POPLAR BLUFF, MO 63901
Butler County (573) 785-0984
MR. GARY MICHAEL SIMMONS R.PH.
Pharmacist
909 W PINE ST, SUITE 1
POPLAR BLUFF, MO 63901
Butler County (573) 785-0984
E & D DRUGS,INC.
Pharmacist
909 W PINE ST, SUITE 1
POPLAR BLUFF, MO 63901
Butler County (573) 785-0984
DR. WHITNEY LAURA CHRONISTER PHARM.D.
Pharmacist
909 W PINE ST
POPLAR BLUFF, MO 63901
Butler County (573) 718-9704
AARON VINCENT
Pharmacist
909 W PINE ST
POPLAR BLUFF, MO 63901
Butler County (573) 785-0984

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 Poplar Bluff Pharmacy LLC's NPI number?

The NPI number for Poplar Bluff Pharmacy LLC is 1275084865. It was assigned to this organization in the NPPES registry on October 18, 2016. The provider is doing business as John's Pharmacy Poplar Bluff.

Where is Poplar Bluff Pharmacy LLC located?

Poplar Bluff Pharmacy LLC is located at 909 W Pine St, Poplar Bluff, MO 63901. The listed phone number is (573) 785-0984.

What is Poplar Bluff Pharmacy LLC's specialty?

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

What insurance does Poplar Bluff Pharmacy 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 Poplar Bluff Pharmacy 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 Poplar Bluff Pharmacy LLC was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.