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PARKLAND HEALTH MART PHARMACY
NPI 1639165160
Pharmacy - Community/Retail Pharmacy in Festus, MO

Active since September 20, 2005CLIA 26D2058055 · Waiver
348 FESTUS CENTRE DR, FESTUS, MO 63028(636) 933-2224(636) 933-2264 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 26, 2021, Mar 3, 2016, Feb 11, 2016 (3 updates tracked since 2016).

About Parkland Health Mart Pharmacy NPPES

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

PARKLAND HEALTH MART PHARMACY (NPI 1639165160) is a healthcare organization registered as a community/retail pharmacy in Festus, Missouri and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through April 28, 2027 and lists Douglas Rademaker, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1639165160
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePROFESSIONAL PRESCRIPTION SERVICES LLC
Location Address348 FESTUS CENTRE DRFestus, MO 63028-2458
Mailing Address1131 N Desloge DrDesloge, MO 63601-2936 · (573) 431-6677 · Fax (573) 431-3833
Phone(636) 933-2224
Fax(636) 933-2264
Organization SubpartNo
Authorized OfficialDouglas RademakerManaging Member · (636) 933-2224
Enumeration DateSeptember 20, 2005
Last NPPES UpdateJune 23, 20223 updates tracked since enumeration
NPPES CertifiedJune 23, 2022
✔ NPI 1639165160 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 · 2004029045
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
348 FESTUS CENTRE DR, Festus, MO 63028
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Other Names 1

Doing Business AsParkland Health Mart Pharmacy

Other Identifiers 2

Medicaid606159507MO
Other2049048Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..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 26D2058055

Parkland Health Mart Pharmacy · Desloge, MO
Active · expires Apr 28, 2027
CLIA Number26D2058055
Laboratory TypePharmacy
Certificate Effective DateApril 29, 2025
Certificate Expiration DateApril 28, 2027
Laboratory DirectorLisa K. Umfleet
Laboratory Phone(573) 431-6677
Laboratory LocationParkland Health Mart Pharmacy1131 N Desloge Dr, Desloge, MO 63601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

PROFESSIONAL PRESCRIPTION SERVICES LLC
Pharmacy (Long Term Care Pharmacy)
348 FESTUS CENTRE DR
FESTUS, MO 63028
Jefferson County (636) 933-2224

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 Professional Prescription Services LLC's NPI number?

The NPI number for Professional Prescription Services LLC is 1639165160. It was assigned to this organization in the NPPES registry on September 20, 2005. The provider is doing business as Parkland Health Mart Pharmacy.

Where is Professional Prescription Services LLC located?

Professional Prescription Services LLC is located at 348 Festus Centre Dr, Festus, MO 63028. The listed phone number is (636) 933-2224.

What is Professional Prescription Services LLC's specialty?

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

Does Professional Prescription Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2058055) is associated with this NPI, valid through April 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Professional Prescription Services LLC accept?

Health plans from Medica and Moda Health Plan, Inc. list Professional Prescription Services 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 Professional Prescription Services LLC was last updated on June 23, 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.