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ST. JOHN'S SISK PHARMACY
NPI 1790978765
Pharmacist in Licking, MO

Active since August 23, 2007
101 NORTH MAIN STREET, LICKING, MO 65542(573) 674-2922(573) 674-4334 Get Directions Write a Review

NPPES record last updated: August 23, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St. John's Sisk Pharmacy NPPES

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

ST. JOHN'S SISK PHARMACY (NPI 1790978765) is a healthcare organization registered as a pharmacist in Licking, Missouri and active in the NPI registry since August 2007. The organization lists Rob Shockley, Retail Coordinator, as its authorized official.

NPPES Registry Identity

NPI1790978765
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameST. JOHN'S PHYSICIAN & CLINIC
Location Address101 NORTH MAIN STREETLicking, MO 65542
Mailing Address101 North Main StreetLicking, MO 65542 · (573) 674-2922 · Fax (573) 674-4334
Phone(573) 674-2922
Fax(573) 674-4334
Organization SubpartNo
Authorized OfficialRob ShockleyRetail Coordinator · (417) 820-6624
Enumeration DateAugust 23, 2007
✔ NPI 1790978765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in MO · 006040
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
101 NORTH MAIN STREET, Licking, MO 65542
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Other Names 1

Doing Business AsSt. John's Sisk Pharmacy

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 St. John's Physician & Clinic's NPI number?

The NPI number for St. John's Physician & Clinic is 1790978765. It was assigned to this organization in the NPPES registry on August 23, 2007. The provider is doing business as St. John's Sisk Pharmacy.

Where is St. John's Physician & Clinic located?

St. John's Physician & Clinic is located at 101 North Main Street, Licking, MO 65542. The listed phone number is (573) 674-2922.

What is St. John's Physician & Clinic's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for St. John's Physician & Clinic was last updated on August 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.