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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

State of Missouri

Long Term Care Pharmacy in Saint Joseph, MO · enumerated 2007 · authorized official Molly Boeckmann, Director of Administrative Services.

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

National Provider Identifier

1750420188

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Registry record

Entity type Organization (Type 2)
Legal business name State of Missouri
Other name <Unavail>
Parent organization State of Missouri
Practice address 3505 Frederick Ave, Saint Joseph, MO, 64506
Fax (816) 387-2391
Enumeration date Feb 5, 2007
Last updated in NPPES Sep 3, 2020

Taxonomy & classification

3336L0003X Long Term Care Pharmacy Suppliers Primary

Authorized official

Name Molly Boeckmann
Title Director of Administrative Services

Other identifiers

Identifier Type State Issuer
2614255 Other - NCPDP

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

Where is State of Missouri located?
The practice location on file with NPPES is in Saint Joseph, MO.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-09-03. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-09-03.