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St. John'S Physician & Clinic

Pharmacist in Licking, MO · enumerated 2007 · authorized official Rob Shockley, Retail Coordinator.

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

National Provider Identifier

1790978765

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Registry record

Entity type Organization (Type 2)
Legal business name St. John'S Physician & Clinic
Other name <Unavail>
Practice address 101 North Main Street, Licking, MO, 65542
Fax (573) 674-4334
Enumeration date Aug 23, 2007
Last updated in NPPES Aug 23, 2007

Taxonomy & classification

183500000X Pharmacist Pharmacy Service Providers · License 006040 (MO) Primary

Authorized official

Name Rob Shockley
Title Retail Coordinator

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

Who is the authorized official for St. John'S Physician & Clinic?
NPPES lists Rob Shockley (Retail Coordinator) as the authorized official for this organization.
What is the NPI number for St. John'S Physician & Clinic?
The NPI for St. John'S Physician & Clinic is 1790978765, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-08-23.