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Mountain Grove Pharmacy Inc

Community/Retail Pharmacy in Mountain Grove, MO · enumerated 2006 · authorized official Christine Coffman, Pic.

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

National Provider Identifier

1285645820

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Mountain Grove Pharmacy Inc
Other name <Unavail>
Practice address 106 N Union St, Mountain Grove, MO, 65711
Phone (417) 926-4156
Fax (417) 926-4125
Enumeration date Aug 10, 2006
Last updated in NPPES Nov 26, 2024

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 2015006569 (MO) Primary

Authorized official

Name Christine Coffman
Title Pic
Phone (417) 926-9655

Other identifiers

Identifier Type State Issuer
601091507 Medicaid MO -
2049297 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.

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Frequently asked questions

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.
What type of organization is Mountain Grove Pharmacy Inc?
Mountain Grove Pharmacy Inc is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-11-26.