Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

ELLIS R ODOM RPH
NPI 1457330219
Pharmacist in Poplar Bluff, MO

Active since January 11, 2006
686 LESTER ST, POPLAR BLUFF, MO 63901(573) 686-2411(573) 686-8452 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ellis R Odom Rph NPPES

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

ELLIS R ODOM RPH (NPI 1457330219) is an individual pharmacist in Poplar Bluff, Missouri, licensed in Missouri (042673) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1457330219
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameELLIS R ODOMCredential: RPH
Location Address686 LESTER STPoplar Bluff, MO 63901-5025
Mailing AddressPo Box 220Poplar Bluff, MO 63902 · (573) 686-2411 · Fax (573) 686-8452
Fax(573) 686-8452
Sole ProprietorNo
Enumeration DateJanuary 11, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1457330219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MO · 042673
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.
686 LESTER ST, Poplar Bluff, MO 63901

Other Providers at the Same Location NPPES 20

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

Community Health Worker
686 LESTER ST
POPLAR BLUFF, MO 63901
Behavior Technician
686 LESTER ST
POPLAR BLUFF, MO 63901
Peer Specialist
686 LESTER ST
POPLAR BLUFF, MO 63901
Clinic/Center (Rural Health)
686 LESTER ST
POPLAR BLUFF, MO 63901
Nurse Practitioner (Psychiatric/Mental Health)
686 LESTER ST
POPLAR BLUFF, MO 63901
Counselor (Mental Health)
686 LESTER ST
POPLAR BLUFF, MO 63901
Social Worker
686 LESTER ST
POPLAR BLUFF, MO 63901
Behavior Technician
686 LESTER ST
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 Ellis Odom's NPI number?

The NPI number for Ellis Odom is 1457330219. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is Ellis Odom located?

Ellis Odom practices at 686 Lester St, Poplar Bluff, MO 63901. The listed phone number is (573) 686-2411.

What is Ellis Odom'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 Ellis Odom was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.