| NPI | 1336150846 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-08-10 |
| Last Updated | 2024-01-13 |
| Authorized Official | Krista Berry CFO Phone: 5733316028 |
| Mailing Address | 1723 Broadway Ste 110 Cape Girardeau, MO 63701 United States Phone: (573) 331-7900 | Fax: (573) 331-7909 📍 View Map |
| Primary Practice Address | 1723 Broadway Ste 110 Cape Girardeau, MO 63701 United States Phone: (573) 331-7900 | Fax: (573) 331-7909 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | - | 2631996 | NCPDP Provider Identification Number |
| MEDICAID | MO | 603829300 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 3336L0003X – Pharmacy, Long Term Care Pharmacy | - | - |
| No | 333600000X – Pharmacy | - | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | MO | 006426 |
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About NPI 1336150846
Southeast Hospital is an organization registered in the CMS NPPES NPI Registry with NPI number 1336150846. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Cape Girardeau, MO. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-08-10. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1336150846?
NPI 1336150846 belongs to Southeast Hospital, a Pharmacy, Community/Retail Pharmacy in Cape Girardeau, MO. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1336150846 active?
The current status of NPI 1336150846 in the NPPES registry is Active. The record was last updated on 2024-01-13.
What specialty is NPI 1336150846?
NPI 1336150846 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1336150846?
You can verify NPI 1336150846 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1336150846?
The primary practice address on file for NPI 1336150846 is 1723 Broadway Ste 110, Cape Girardeau, MO 63701. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1336150846 issued?
NPI 1336150846 was first issued (enumerated) on 2006-08-10. The NPPES record was last updated on 2024-01-13.
Practice Location Map
Southeast Hospital is located at 1723 Broadway Ste 110, Cape Girardeau, MO. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Southeast Hospital. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1336150846. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 006426 | MO |