HINES STREET PHARMACY LLC – NPI #1740559764
Pharmacy

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.

Health Care Provider Taxonomy Code for Pharmacy

HINES STREET PHARMACY LLC is a pharmacy located in REPUBLIC, MO. NPPES has assigned the NPI number 1740559764 to HINES STREET PHARMACY LLC on December 20, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy

The NPI profile was previously updated about 6 years ago on Nov 24, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HINES STREET PHARMACY LLC below.

NPI Profile for
HINES STREET PHARMACY LLC

NPI Number
1740559764
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HINES STREET PHARMACY LLC
Doing Business As (dba): HINES STREET PHARMACY LLC
Primary location
1173 E HINES ST
REPUBLIC, MO 65738-1277
Phone: (417) 735-0055 Fax: (417) 732-1529
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STEPHEN MCCLANAHAN
OWNER
Phone: (417) 735-0055
Updated
Certification Date
Nov 24, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for HINES STREET PHARMACY LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERPK2133471
MEDICAIDMO609551700
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0003X
- Pharmacy / Community/Retail Pharmacy (Primary)		 MO 2012001548
3336L0003X
- Pharmacy / Long Term Care Pharmacy
163WD0400X
- Registered Nurse / Diabetes Educator

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.