Shell Knob Pharmacy LLC
Shell Knob Pharmacy LLC is a healthcare organization registered as Community/Retail Pharmacy in Shell Knob, MO, holding Type 2 (organization) NPI 1518980986 since 2006. The authorized official on file is Cong Dang, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1518980986 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Shell Knob Pharmacy LLC |
| Other name | <Unavail> |
| Practice address | 24832 STATE HIGHWAY 39, Shell Knob, MO, 65747 |
| Phone | 4178582200 |
| Fax | 4178582216 |
| Enumeration date | 2006-07-25 |
| Last updated in NPPES | 2022-11-18 |
Authorized official
| Name | Cong Dang |
|---|---|
| Title | Owner |
| Phone | 4177666990 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 2016013824 | MO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 602912701 | Medicaid | MO | — |
| 2159951 | Other | — | PK |
Copy-ready billing details
Provider: Shell Knob Pharmacy LLC NPI: 1518980986 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 24832 STATE HIGHWAY 39, Shell Knob, MO, 65747
Verify this record
Cross-check NPI 1518980986 against the authoritative CMS record: view Shell Knob Pharmacy LLC 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
Where is Shell Knob Pharmacy LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-11-18.