St. John'S Clinic Inc
St. John'S Clinic Inc is a healthcare organization registered as Pharmacist in Rolla, MO, holding Type 2 (organization) NPI 1043308497 since 2006. The authorized official on file is Rob Shockley, Retail Pharmacy Coordinator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1043308497 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | St. John'S Clinic Inc |
| Other name | <Unavail> |
| Practice address | 1100 WEST 10TH STREET, SUITE 150, Rolla, MO, 65401 |
| Phone | 5734264931 |
| Fax | 5734264932 |
| Enumeration date | 2006-10-11 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Rob Shockley |
|---|---|
| Title | Retail Pharmacy Coordinator |
| Phone | 4178206624 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 183500000X | Pharmacist | Primary | 2006027507 | MO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | MO | — |
Copy-ready billing details
Provider: St. John'S Clinic Inc NPI: 1043308497 Taxonomy: 183500000X (Pharmacist) Address: 1100 WEST 10TH STREET, SUITE 150, Rolla, MO, 65401
Verify this record
Cross-check NPI 1043308497 against the authoritative CMS record: view St. John'S Clinic Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Where is St. John'S Clinic Inc located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.