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SOUTHEAST MISSOURI MENTAL HEALTH CENTER PHARMACY
NPI 1669511093
Pharmacy - Institutional Pharmacy in Farmington, MO

Active since February 05, 2007
1010 W COLUMBIA ST, FARMINGTON, MO 63640(573) 218-6759(573) 218-6762 Get Directions Write a Review

NPPES record last updated: August 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 28, 2020, Aug 26, 2019, Oct 11, 2016 (3 updates tracked since 2016).

About Southeast Missouri Mental Health Center Pharmacy NPPES

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

SOUTHEAST MISSOURI MENTAL HEALTH CENTER PHARMACY (NPI 1669511093) is a healthcare organization registered as an institutional pharmacy in Farmington, Missouri and active in the NPI registry since February 2007. The organization lists Molly Jane Boeckmann, Director Of Administrative Services, as its authorized official.

NPPES Registry Identity

NPI1669511093
Entity TypeOrganization
Primary Taxonomy3336I0012X
Legal Business NameSTATE OF MISSOURI
Location Address1010 W COLUMBIA STFarmington, MO 63640-2902
Mailing Address1010 W Columbia StFarmington, MO 63640-2902 · (573) 218-6759 · Fax (573) 218-6762
Phone(573) 218-6759
Fax(573) 218-6762
Organization SubpartNo
Authorized OfficialMolly Jane BoeckmannDirector Of Administrative Services · (573) 751-4055
Enumeration DateFebruary 5, 2007
Last NPPES UpdateAugust 28, 20203 updates tracked since enumeration
NPPES CertifiedAugust 28, 2020
✔ NPI 1669511093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Institutional PharmacySuppliers
Taxonomy Code3336I0012X
License✔ Licensed in MO · 001820
Definition
A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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
1010 W COLUMBIA ST, Farmington, MO 63640
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Other Names 1

Doing Business AsSoutheast Missouri Mental Health Center Pharmacy

Other Identifiers 2

Medicaid050490200MO
Other2048857Pk

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 20

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

LINDA D. RUSSELL
Pharmacy Technician
1010 W COLUMBIA ST
FARMINGTON, MO 63640
St. Francois County (573) 218-6792
MR. MICHAEL JAMES MCCARVER R.PH.
Pharmacist (Psychiatric)
1010 W COLUMBIA ST
FARMINGTON, MO 63640
St. Francois County (573) 218-6754
DR. KELLY ANN GABEL PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1010 W COLUMBIA ST, PHARMACY DEPARTMENT
FARMINGTON, MO 63640
St. Francois County (573) 218-7022
DR. THOMAS STANLEY FINLEY I DDS
Dentist
1010 W COLUMBIA ST
FARMINGTON, MO 63640
St. Francois County (573) 218-6792
JAMIE BARTON RPH
Pharmacist
1010 W COLUMBIA ST
FARMINGTON, MO 63640
St. Francois County (573) 218-6756
JOSHUA HERWIG FPMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1010 W COLUMBIA ST
FARMINGTON, MO 63640
St. Francois County (573) 218-6043
DR. VEERA N. REDDY M.D.
Psychiatry & Neurology (Psychiatry)
1010 W COLUMBIA ST, SOUTHEAST MISSOURI MENTAL HEALTH CENTER
FARMINGTON, MO 63640
St. Francois County (573) 218-6792
MAKENZIE DENAE BORCHERS
Student in an Organized Health Care Education/Training Program
1010 W COLUMBIA ST
FARMINGTON, MO 63640
St. Francois County (573) 747-2203

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 State Of Missouri's NPI number?

The NPI number for State Of Missouri is 1669511093. It was assigned to this organization in the NPPES registry on February 5, 2007. The provider is doing business as Southeast Missouri Mental Health Center Pharmacy.

Where is State Of Missouri located?

State Of Missouri is located at 1010 W Columbia St, Farmington, MO 63640. The listed phone number is (573) 218-6759.

What is State Of Missouri's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Institutional Pharmacy, with taxonomy code 3336I0012X.

What insurance does State Of Missouri 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 37 other insurers list State Of Missouri 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 State Of Missouri was last updated on August 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.