FAMILY PHARMACY OF MOUNTAIN GROVE LLC
NPI 1851426852
Pharmacy in Mountain Grove, MO

Q: What is Family Pharmacy Of Mountain Grove LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Active since February 22, 2007CLIA 26D0990184 · Waiver

1600 N MAIN ST, MOUNTAIN GROVE, MO 65711(417) 926-9655(417) 926-0045 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2024, Apr 12, 2023, Jun 23, 2020 (3 updates tracked since 2020).

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About Family Pharmacy Of Mountain Grove Llc NPPES

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

FAMILY PHARMACY OF MOUNTAIN GROVE LLC (NPI 1851426852) is a healthcare organization registered as a pharmacy in Mountain Grove, Missouri and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 15, 2027 and lists Christine Michelle Coffman, Owner/pharmacist, as its authorized official.

NPPES Registry Identity

NPI1851426852

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameFAMILY PHARMACY OF MOUNTAIN GROVE LLC

Location Address1600 N MAIN STMountain Grove, MO 65711-1010

Mailing Address1600 N Main StMountain Grove, MO 65711-1010 · (417) 926-9655 · Fax (417) 926-0045

Phone(417) 926-9655

Fax(417) 926-0045

Organization SubpartNo

Authorized OfficialChristine Michelle CoffmanOwner/pharmacist · (417) 926-4156

Enumeration DateFebruary 22, 2007

Last NPPES UpdateNovember 18, 20243 updates tracked since enumeration

NPPES CertifiedNovember 18, 2024

✔ NPI 1851426852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License 200059684 (MO)

1600 N MAIN ST, Mountain Grove, MO 65711

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Other Identifiers 2

Medicaid625201207MO

Medicaid605201201MO

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D0990184

Family Pharmacy · Mountain Grove, MO

Active · expires Aug 15, 2027

CLIA Number26D0990184

Laboratory TypePharmacy

Certificate Effective DateAugust 16, 2025

Certificate Expiration DateAugust 15, 2027

Laboratory DirectorChristine M. Coffman

Laboratory Phone(417) 926-9655

Laboratory LocationFamily Pharmacy1600 N Main Street, Mountain Grove, MO 65711

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

63 services63 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

32 services32 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

25 services25 patients

Medical Equipment Supplier Medicare DMEPOS 10

Medicare supplier enrollment and the product categories Family Pharmacy Of Mountain Grove L carries, from the Medicare DMEPOS supplier directory.

Family Pharmacy Of Mountain Grove L

DMEPOS supplier · Mountain Grove, MOOperated by Family Pharmacy Of Mountain Grove LLC

✔

Accepts Medicare assignment

Family Pharmacy Of Mountain Grove L agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20405069

Medicare Participant SinceAugust 12, 2021

Supplier Location1600 N Main StMountain Grove, MO 65711

Phone(417) 926-9655

Supplier Specialties

Pharmacy

Medicare Product Categories

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Oral Anticancer Drugs

FDA anticancer drugs

Commodes, Urinals, Bedpans

Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals

Blood Glucose Monitors/Supplies (Non-Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Canes and/or Crutches

Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches

Walkers

Standard Walkers, Wheeled Walkers, Folding Walker

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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Other Providers at the Same Location NPPES 6

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

CHRISTINE MICHELLE COFFMAN RPH

Pharmacist