NORTHWEST MO PRC PHARMACY
NPI 1750420188
Pharmacy - Long Term Care Pharmacy in Saint Joseph, MO

Q: What is State Of Missouri's NPI number?

The NPI number for State Of Missouri is 1750420188. It was assigned to this organization in the NPPES registry on February 5, 2007. The provider is doing business as Northwest Mo Prc Pharmacy.

Q: What is State Of Missouri's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Q: When was this NPI record last updated?

The NPPES record for State Of Missouri was last updated on September 3, 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.

Active since February 05, 2007

3505 FREDERICK AVE, SAINT JOSEPH, MO 64506(816) 387-2564(816) 387-2391 Get Directions Write a Review

NPPES record last updated: September 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 3, 2020, Aug 26, 2019 (2 updates tracked since 2019).

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About Northwest Mo Prc Pharmacy NPPES

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

NORTHWEST MO PRC PHARMACY (NPI 1750420188) is a healthcare organization registered as a long term care pharmacy in Saint Joseph, 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

NPI1750420188

Entity TypeOrganization

Primary Taxonomy3336L0003X

Legal Business NameSTATE OF MISSOURI

Location Address3505 FREDERICK AVESaint Joseph, MO 64506-2914

Mailing Address1706 E Elm StJefferson City, MO 65101-4130 · (573) 751-3398 · Fax (573) 526-4560

Phone(816) 387-2564

Fax(816) 387-2391

Organization SubpartYes

Authorized OfficialMolly Jane BoeckmannDirector Of Administrative Services · (573) 751-4055

Enumeration DateFebruary 5, 2007

Last NPPES UpdateSeptember 3, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2020

✔ NPI 1750420188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers

Taxonomy Code3336L0003X

Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

3505 FREDERICK AVE, Saint Joseph, MO 64506

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Other Names 1

Doing Business AsNorthwest Mo Prc Pharmacy

Other Identifiers 1

Other2614255Ncpdp

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.

HEATHER MCMAHON PSY.D.

Psychologist

3505 FREDERICK AVE
SAINT JOSEPH, MO 64506

Buchanan County (816) 387-2809

DR. STEVEN CLARK STONER PHARM.D., BCPP

Pharmacist (Psychiatric)

3505 FREDERICK AVE, NMPRC
SAINT JOSEPH, MO 64506

Buchanan County (816) 387-2580

MARY BETH GRABLE

Pharmacy Technician

3505 FREDERICK AVE
SAINT JOSEPH, MO 64506

Buchanan County (816) 387-2572

GAGE HERRINGTON PLPC

Counselor (Mental Health)

3505 FREDERICK AVE
SAINT JOSEPH, MO 64506

Buchanan County (816) 387-2300

STATE OF MISSOURI

Psychiatric Hospital

3505 FREDERICK AVE
SAINT JOSEPH, MO 64506

Buchanan County (816) 387-2300

HELYN V STRICKLAND DMIN; MTS; MS

Counselor (Professional)

3505 FREDERICK AVE
SAINT JOSEPH, MO 64506

Buchanan County (816) 387-2824

DR. JIMMIE DEAN ALLEN ED.D

Psychologist

3505 FREDERICK AVE
SAINT JOSEPH, MO 64506

Buchanan County (816) 387-2615

DR. RINTU INTEKHAB KHAN MD

Psychiatry & Neurology (Psychiatry)

3505 FREDERICK AVE
SAINT JOSEPH, MO 64506

Buchanan County (816) 387-2300

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 1750420188. It was assigned to this organization in the NPPES registry on February 5, 2007. The provider is doing business as Northwest Mo Prc Pharmacy.

Where is State Of Missouri located?

State Of Missouri is located at 3505 Frederick Ave, Saint Joseph, MO 64506. The listed phone number is (816) 387-2564.

What is State Of Missouri's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

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 September 3, 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.