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PRESCRIPTION DRUG STORE LLC
NPI 1497790968
Pharmacy - Community/Retail Pharmacy in Caruthersville, MO

Active since June 18, 2006
410 WARD AVE, CARUTHERSVILLE, MO 63830(573) 333-4890(573) 333-0306 Get Directions Write a Review

NPPES record last updated: January 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 28, 2022, Jun 3, 2021, Mar 24, 2021 (3 updates tracked since 2021).

About Prescription Drug Store Llc NPPES

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

PRESCRIPTION DRUG STORE LLC (NPI 1497790968) is a healthcare organization registered as a community/retail pharmacy in Caruthersville, Missouri and active in the NPI registry since June 2006. The organization lists Shane Alan Dudley, Owner / Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1497790968
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePRESCRIPTION DRUG STORE LLC
Location Address410 WARD AVECaruthersville, MO 63830
Mailing Address410 Ward AveCaruthersville, MO 63830 · (573) 333-4890 · Fax (573) 333-0306
Phone(573) 333-4890
Fax(573) 333-0306
Organization SubpartNo
Authorized OfficialShane Alan DudleyOwner / Pharmacist · (573) 333-4890
Enumeration DateJune 18, 2006
Last NPPES UpdateJanuary 28, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2022
✔ NPI 1497790968 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 · 000915
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 ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
410 WARD AVE, Caruthersville, MO 63830
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Other Identifiers 1

Medicaid600126106MO

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 3

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

MR. SHANE A DUDLEY R.PH.
Pharmacist
410 WARD AVE
CARUTHERSVILLE, MO 63830
Pemiscot County (573) 333-4890
DAX OWEN MELUGIN
Pharmacist
410 WARD AVE
CARUTHERSVILLE, MO 63830
Pemiscot County (573) 333-4890
PRESCRIPTION DRUG STORE
Durable Medical Equipment & Medical Supplies
410 WARD AVE
CARUTHERSVILLE, MO 63830
Pemiscot County (573) 333-4890

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 Prescription Drug Store LLC's NPI number?

The NPI number for Prescription Drug Store LLC is 1497790968. It was assigned to this organization in the NPPES registry on June 18, 2006.

Where is Prescription Drug Store LLC located?

Prescription Drug Store LLC is located at 410 Ward Ave, Caruthersville, MO 63830. The listed phone number is (573) 333-4890.

What is Prescription Drug Store LLC's specialty?

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

What insurance does Prescription Drug Store 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 52 other insurers list Prescription Drug Store 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 Prescription Drug Store LLC was last updated on January 28, 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.