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THEODOSIA PHARMACY
NPI 1386706992
Pharmacy - Community/Retail Pharmacy in Theodosia, MO

Active since December 14, 2006
4900 US HIGHWAY 160 STE 1, THEODOSIA, MO 65761(417) 273-4555(417) 273-4559 Get Directions Write a Review

NPPES record last updated: February 20, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theodosia Pharmacy NPPES

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

THEODOSIA PHARMACY (NPI 1386706992) is a healthcare organization registered as a community/retail pharmacy in Theodosia, Missouri and active in the NPI registry since December 2006. The organization lists Craig Atkins, Pic, as its authorized official.

NPPES Registry Identity

NPI1386706992
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCOURT SQUARE PHARMACY, INC
Location Address4900 US HIGHWAY 160 STE 1Theodosia, MO 65761-6539
Mailing AddressPo Box 353Theodosia, MO 65761-0353
Phone(417) 273-4555
Fax(417) 273-4559
Organization SubpartNo
Authorized OfficialCraig AtkinsPic · (417) 679-2650
Enumeration DateDecember 14, 2006
Last NPPES UpdateFebruary 20, 2017
✔ NPI 1386706992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MO · 2004008518
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
4900 US HIGHWAY 160 STE 1, Theodosia, MO 65761
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Other Names 1

Doing Business AsTheodosia Pharmacy

Other Identifiers 2

Other2049026Pk
Medicaid606130102MO

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 Court Square Pharmacy, Inc's NPI number?

The NPI number for Court Square Pharmacy, Inc is 1386706992. It was assigned to this organization in the NPPES registry on December 14, 2006. The provider is doing business as Theodosia Pharmacy.

Where is Court Square Pharmacy, Inc located?

Court Square Pharmacy, Inc is located at 4900 Us Highway 160 Ste 1, Theodosia, MO 65761. The listed phone number is (417) 273-4555.

What is Court Square Pharmacy, Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Court Square Pharmacy, Inc was last updated on February 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.