IMMEDIATE HEALTHCARE KINGS HIGHWAY
NPI 1639252968
Non-Pharmacy Dispensing Site in Cape Girardeau, MO

Q: What is Immediate Healthcare Kings Highway's NPI number?

The NPI number for Immediate Healthcare Kings Highway is 1639252968. It was assigned to this organization in the NPPES registry on October 23, 2006.

Q: What is Immediate Healthcare Kings Highway's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Active since October 23, 2006

1702 N KINGSHIGHWAY ST, CAPE GIRARDEAU, MO 63701(573) 339-2000(573) 339-1876 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Immediate Healthcare Kings Highway NPPES

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

IMMEDIATE HEALTHCARE KINGS HIGHWAY (NPI 1639252968) is a healthcare organization registered as a non-pharmacy dispensing site in Cape Girardeau, Missouri and active in the NPI registry since October 2006. The organization lists Direndia Shackelford, Managed Care Specialist, as its authorized official.

NPPES Registry Identity

NPI1639252968

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameIMMEDIATE HEALTHCARE KINGS HIGHWAY

Location Address1702 N KINGSHIGHWAY STCape Girardeau, MO 63701-2122

Mailing Address1702 N Kingshighway StCape Girardeau, MO 63701-2122

Phone(573) 339-2000

Fax(573) 339-1876

Organization SubpartNo

Authorized OfficialDirendia ShackelfordManaged Care Specialist · (800) 654-0889

Enumeration DateOctober 23, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1639252968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers

Taxonomy Code332900000X

License✔ Licensed in MO · R2J89

Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

1702 N KINGSHIGHWAY ST, Cape Girardeau, MO 63701

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Other Names 1

Doing Business AsImmediate Healthcare Kings Highway

Other Identifiers 1

Other2633471Other Id Number-commercial Number

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.

KELLI A CROWE FNP-C

Nurse Practitioner (Family)