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FOUR STATES APOTHECARY LLC
NPI 1952876948
Pharmacy - Community/Retail Pharmacy in Carl Junction, MO

Active since October 05, 2018
102 S MAIN ST, CARL JUNCTION, MO 64834(417) 649-7021(417) 649-6269 Get Directions Write a Review

NPPES record last updated: October 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Four States Apothecary Llc NPPES

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

FOUR STATES APOTHECARY LLC (NPI 1952876948), doing business as Cj Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Carl Junction, Missouri and active in the NPI registry since October 2018. The organization lists Mark Steven Mayberry, Pharmacy Ownder, as its authorized official.

NPPES Registry Identity

NPI1952876948
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameFOUR STATES APOTHECARY LLC
Location Address102 S MAIN STCarl Junction, MO 64834-1000
Mailing Address413 Commercial StOswego, KS 67356-2017 · (620) 795-2233 · Fax (620) 795-4910
Phone(417) 649-7021
Fax(417) 649-6269
Organization SubpartNo
Authorized OfficialMark Steven MayberryPharmacy Ownder · (417) 529-1815
Enumeration DateOctober 5, 2018
✔ NPI 1952876948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); 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.
102 S MAIN ST, Carl Junction, MO 64834
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Other Names 1

Doing Business AsCj Pharmacy

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 ›

Areas of Expertise CMS Part B claims 2

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.
38 services38 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.
37 services37 patients

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Cj Pharmacy carries, from the Medicare DMEPOS supplier directory.

Cj Pharmacy

DMEPOS supplier · Carl Junction, MOOperated by Four States Apothecary LLC
✔

Accepts Medicare assignment

Cj Pharmacy 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)20407205
Medicare Participant SinceMarch 1, 2021
Supplier Location102 S Main StCarl Junction, MO 64834
Phone(417) 649-7021
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

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

DR. JERRY E BOTTS PHARM D
Pharmacist
102 S MAIN ST
CARL JUNCTION, MO 64834
Jasper County (417) 649-7021
BRUNER DRUGS, INC.
Pharmacy (Community/Retail Pharmacy)
102 S MAIN ST
CARL JUNCTION, MO 64834
Jasper County (417) 649-7021

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 Four States Apothecary LLC's NPI number?

The NPI number for Four States Apothecary LLC is 1952876948. It was assigned to this organization in the NPPES registry on October 5, 2018. The provider is doing business as CJ Pharmacy.

Where is Four States Apothecary LLC located?

Four States Apothecary LLC is located at 102 S Main St, Carl Junction, MO 64834. The listed phone number is (417) 649-7021.

What is Four States Apothecary LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Four States Apothecary LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Cj Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Four States Apothecary LLC 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 49 other insurers list Four States Apothecary LLC 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 Four States Apothecary LLC was last updated on October 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.