EAST SIDE PHARMACY
NPI 1972557171
Pharmacy - Community/Retail Pharmacy in Poplar Bluff, MO

Q: What is Eastside Pharmacy, Inc.'s NPI number?

The NPI number for Eastside Pharmacy, Inc. is 1972557171. It was assigned to this organization in the NPPES registry on May 20, 2006. The provider is doing business as East Side Pharmacy.

Q: What is Eastside Pharmacy, Inc.'s specialty?

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

Active since May 20, 2006

400 E PINE ST, POPLAR BLUFF, MO 63901(573) 686-7238(573) 686-7239 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 14, 2022, Oct 21, 2022, Aug 22, 2020 (3 updates tracked since 2020).

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About East Side Pharmacy NPPES

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

EAST SIDE PHARMACY (NPI 1972557171) is a healthcare organization registered as a community/retail pharmacy in Poplar Bluff, Missouri and active in the NPI registry since May 2006. The organization lists Stephen Kennedy Rowland, Pharmacist/owner, as its authorized official.

NPPES Registry Identity

NPI1972557171

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameEASTSIDE PHARMACY, INC.

Location Address400 E PINE STPoplar Bluff, MO 63901-5401

Mailing Address400 E Pine StPoplar Bluff, MO 63901-5401 · (573) 686-7238 · Fax (573) 686-7239

Phone(573) 686-7238

Fax(573) 686-7239

Organization SubpartNo

Authorized OfficialStephen Kennedy RowlandPharmacist/owner · (573) 686-7238

Enumeration DateMay 20, 2006

Last NPPES UpdateMarch 26, 20243 updates tracked since enumeration

NPPES CertifiedMarch 26, 2024

✔ NPI 1972557171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in MO · 5573

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 621773506 (MO)

Also ListedPharmacyTaxonomy 333600000X

Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X · License 5573 (MO)

400 E PINE ST, Poplar Bluff, MO 63901

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Other Names 1

Doing Business AsEast Side Pharmacy

Other Identifiers 3

Medicaid601773500MO

Medicaid621773506MO

Other2619623Nabp #

Other Providers at the Same Location NPPES 5

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

EASTSIDE PHARMACY, INC.

Pharmacy (Long Term Care Pharmacy)