Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Poplar Bluff Pharmacy LLC

Q: What type of organization is Poplar Bluff Pharmacy LLC?

Poplar Bluff Pharmacy LLC is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).

Community/Retail Pharmacy in Poplar Bluff, MO · enumerated 2016 · authorized official Abraham Funk, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1275084865

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Registry record

Entity type Organization (Type 2)

Legal business name Poplar Bluff Pharmacy LLC

Other name <Unavail>

Practice address 909 W Pine St, Poplar Bluff, MO, 63901

Phone (573) 785-0984

Fax (573) 785-2257

Enumeration date Oct 18, 2016

Last updated in NPPES Sep 19, 2025

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary

3336C0003X Community/Retail Pharmacy Suppliers · License 2016042382 (MO) Primary

3336C0004X Compounding Pharmacy Suppliers Secondary

3336L0003X Long Term Care Pharmacy Suppliers Secondary

Authorized official

Name Abraham Funk

Title Owner

Phone (573) 785-0984

Other identifiers

Identifier	Type	State	Issuer
600059703	Medicaid	MO	-
2166615	Other	-	PK

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 → Validate an NPI →

Frequently asked questions

What type of organization is Poplar Bluff Pharmacy LLC?

Poplar Bluff Pharmacy LLC is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

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Gary Simmons Pharmacist · Poplar Bluff, MO NPI 1104961515 E & D Drugs,Inc. Pharmacist · Poplar Bluff, MO NPI 1629103643 The Other Side Home Health Equipment and Supply Pharmacy · Poplar Bluff, MO NPI 1003102153 Whitney Chronister Pharmacist · Poplar Bluff, MO NPI 1700207073 Aaron Vincent Pharmacist · Poplar Bluff, MO NPI 1750138368 Aftan Swindle Pharmacist · Poplar Bluff, MO NPI 1093556011

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-19.