HINES STREET PHARMACY 2 LLC
NPI 1790439842
Family Medicine in Republic, MO
About Hines Street Pharmacy 2 Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HINES STREET PHARMACY 2 LLC (NPI 1790439842) is a healthcare organization registered as a family medicine in Republic, Missouri and active in the NPI registry since February 2022. The organization lists Steve Mcclanahan, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Hines Street Pharmacy 2 Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Hines Street Pharmacy 2 LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Hines Street Pharmacy 2 LLC's NPI number?
The NPI number for Hines Street Pharmacy 2 LLC is 1790439842. It was assigned to this organization in the NPPES registry on February 8, 2022.
Where is Hines Street Pharmacy 2 LLC located?
Hines Street Pharmacy 2 LLC is located at 1173 E Hines St, Republic, MO 65738. The listed phone number is (417) 735-0055.
What is Hines Street Pharmacy 2 LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Hines Street Pharmacy 2 LLC enrolled in Medicare?
Yes. Hines Street Pharmacy 2 LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Hines Street Pharmacy 2 LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Hines Street Pharmacy 2 LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Hines Street Pharmacy 2 LLC was last updated on August 25, 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.
# Hines Street Pharmacy 2 Llc · NPI 1790439842
Family Medicine organization in Republic, Missouri. Organization record, active in the CMS NPPES registry since February 8, 2022.
## Identity
- **NPI:** 1790439842 (Entity type: Organization)
- **Enumerated:** February 8, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Steve Mcclanahan, OWNER
## Practice location
- **Address:** 1173 E HINES ST, Republic, MO 65738-1277
- **Phone:** (417) 735-0055 · **Fax:** (417) 732-1529
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 25, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1790439842) · Data from the CMS NPPES public registry.