SOUTHEASTHEALTH PHARMACY
NPI 1396189767
Pharmacy - Community/Retail Pharmacy in Poplar Bluff, MO

Active since April 29, 2013
2002 KANELL BLVD, STE 102, POPLAR BLUFF, MO 63901(573) 778-1608(573) 778-1645 Get Directions Write a Review

NPPES record last updated: February 3, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southeasthealth Pharmacy NPPES

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

SOUTHEASTHEALTH PHARMACY (NPI 1396189767) is a healthcare organization registered as a community/retail pharmacy in Poplar Bluff, Missouri and active in the NPI registry since April 2013. The organization lists Mike Mcafee, Pic, as its authorized official.

NPPES Registry Identity

NPI1396189767
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSOUTHEAST HEALTH PHARMACY LLC
Location Address2002 KANELL BLVD, STE 102Poplar Bluff, MO 63901-4045
Mailing AddressPo Box 989Poplar Bluff, MO 63902-0989 · (573) 778-1608 · Fax (573) 778-1645
Fax(573) 778-1645
Organization SubpartNo
Authorized OfficialMike McafeePic · (573) 778-1608
Enumeration DateApril 29, 2013
Last NPPES UpdateFebruary 3, 2016
NPI 1396189767 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 · 2013001184
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.

2002 KANELL BLVD, Poplar Bluff, MO 63901

Other Names 1

Doing Business AsSoutheasthealth Pharmacy

Other Identifiers 1

Other2140112Pk

Accepted Insurance

Other Providers at the Same Location NPPES 16

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

Obstetrics & Gynecology
2002 KANELL BLVD
POPLAR BLUFF, MO 63901
Family Medicine
2002 KANELL BLVD
POPLAR BLUFF, MO 63901
Clinic/Center
2002 KANELL BLVD, SUITE 101
POPLAR BLUFF, MO 63901
Obstetrics & Gynecology
2002 KANELL BLVD
POPLAR BLUFF, MO 63901
Clinic/Center (Podiatric)
2002 KANELL BLVD
POPLAR BLUFF, MO 63901
Pharmacy (Community/Retail Pharmacy)
2002 KANELL BLVD, SUITE 102
POPLAR BLUFF, MO 63901
Podiatrist (Foot & Ankle Surgery)
2002 KANELL BLVD, SUITE 201
POPLAR BLUFF, MO 63901
Family Medicine
2002 KANELL BLVD, SUITE 106
POPLAR BLUFF, MO 63901

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 Southeast Health Pharmacy LLC's NPI number?

The NPI number for Southeast Health Pharmacy LLC is 1396189767. It was assigned to this organization in the NPPES registry on April 29, 2013. The provider is doing business as Southeasthealth Pharmacy.

Where is Southeast Health Pharmacy LLC located?

Southeast Health Pharmacy LLC is located at 2002 Kanell Blvd Ste 102, Poplar Bluff, MO 63901. The listed phone number is (573) 778-1608.

What is Southeast Health 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 Southeast Health Pharmacy LLC accept?

Health plans from Moda Health Plan, Inc. list Southeast Health 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 Southeast Health Pharmacy LLC was last updated on February 3, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.