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Eastside Pharmacy, Inc.

Eastside Pharmacy, Inc. is a healthcare organization registered as Community/Retail Pharmacy in Poplar Bluff, MO, holding Type 2 (organization) NPI 1750421079 since 2007. The authorized official on file is Stephen Rowland, Pharmacist/Owner.

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NPI 1750421079
Entity type Organization (Type 2)
Legal business name Eastside Pharmacy, Inc.
Other name <Unavail>
Practice address 400 E PINE ST, Poplar Bluff, MO, 63901
Phone 5736867238
Fax 5736867239
Enumeration date 2007-02-07
Last updated in NPPES 2024-03-26

Authorized official

Name Stephen Rowland
Title Pharmacist/Owner
Phone 5736867238

Taxonomy & classification

Taxonomy code Specialty Primary License State
332B00000X Durable Medical Equipment & Medical Supplies Secondary
3336L0003X Long Term Care Pharmacy Secondary 005573 MO
3336C0003X Community/Retail Pharmacy Primary 005573 MO

Other identifiers

Identifier Type State Issuer
601773500 Medicaid MO
Copy-ready billing details
Provider: Eastside Pharmacy, Inc.
NPI: 1750421079
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 400 E PINE ST, Poplar Bluff, MO, 63901

Providers at this address

NPI Name Type Specialty Location
1972557171 Eastside Pharmacy, Inc. Organization Community/Retail Pharmacy Poplar Bluff, MO
1841674538 Eastside Pharmacy, Inc. Organization Community/Retail Pharmacy Poplar Bluff, MO
1639853278 Stephen Rowland Individual Community/Retail Pharmacy Poplar Bluff, MO
1760340947 Eastside Pharmacy, Inc. Organization Community/Retail Pharmacy Poplar Bluff, MO
1558290312 Eastside Pharmacy, Inc. Organization Long Term Care Pharmacy Poplar Bluff, MO

Verify this record

Cross-check NPI 1750421079 against the authoritative CMS record: view Eastside Pharmacy, 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

What type of organization is Eastside Pharmacy, Inc.?
Eastside Pharmacy, Inc. 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.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-03-26.