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MEDICINE SHOPPE
NPI 1629578927
Pharmacy - Community/Retail Pharmacy in Pacific, MO

Active since February 14, 2018CLIA 26D2153060 · Waiver
2290 W OSAGE ST, PACIFIC, MO 63069(636) 257-9777(636) 257-9774 Get Directions Write a Review

NPPES record last updated: February 14, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medicine Shoppe NPPES

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

MEDICINE SHOPPE (NPI 1629578927) is a healthcare organization registered as a community/retail pharmacy in Pacific, Missouri and active in the NPI registry since February 2018. The organization holds a CLIA Waiver certificate valid through August 21, 2026 and lists Jerry Callahan, Vp, as its authorized official.

NPPES Registry Identity

NPI1629578927
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePACIFIC RX INC
Location Address2290 W OSAGE STPacific, MO 63069-1131
Mailing Address2290 W Osage StPacific, MO 63069-1131 · (636) 257-9777 · Fax (636) 257-9774
Phone(636) 257-9777
Fax(636) 257-9774
Organization SubpartNo
Authorized OfficialJerry CallahanVp · (314) 609-2605
Enumeration DateFebruary 14, 2018
✔ NPI 1629578927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MO · 2018004232
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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
2290 W OSAGE ST, Pacific, MO 63069
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Other Names 1

Doing Business AsMedicine Shoppe

Other Identifiers 1

Other2175917Pk

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2153060

Medicine Shoppe #2120 · Pacific, MO
Active · expires Aug 21, 2026
CLIA Number26D2153060
Laboratory TypePharmacy
Certificate Effective DateAugust 22, 2024
Certificate Expiration DateAugust 21, 2026
Laboratory DirectorAlex Vayman
Laboratory Phone(636) 357-9777
Laboratory LocationMedicine Shoppe #21202590 W Osage Street, Pacific, MO 63069
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
29 services29 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
28 services28 patients

Other Providers at the Same Location NPPES

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

ABDULLAH NADEEM SUFI RPH
Pharmacist
2290 W OSAGE ST
PACIFIC, MO 63069
Franklin County (636) 257-9777

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 Pacific Rx Inc's NPI number?

The NPI number for Pacific Rx Inc is 1629578927. It was assigned to this organization in the NPPES registry on February 14, 2018. The provider is doing business as Medicine Shoppe.

Where is Pacific Rx Inc located?

Pacific Rx Inc is located at 2290 W Osage St, Pacific, MO 63069. The listed phone number is (636) 257-9777.

What is Pacific Rx Inc's specialty?

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

Does Pacific Rx Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2153060) is associated with this NPI, valid through August 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pacific Rx Inc 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 51 other insurers list Pacific Rx Inc 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 Pacific Rx Inc was last updated on February 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.