Northwest Pharmacy Inc
Northwest Pharmacy Inc is a healthcare organization registered as Community/Retail Pharmacy in Poplar Bluff, MO, holding Type 2 (organization) NPI 1902974140 since 2006. The authorized official on file is Mark Kleinbeck, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1902974140 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Northwest Pharmacy Inc |
| Other name | <Unavail> |
| Practice address | 2210 BARRON RD, Poplar Bluff, MO, 63901 |
| Phone | 5736866211 |
| Fax | 5736862219 |
| Enumeration date | 2006-12-04 |
| Last updated in NPPES | 2011-11-16 |
Authorized official
| Name | Mark Kleinbeck |
|---|---|
| Title | President |
| Phone | 5736866211 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 2004019998 | MO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2627492 | Other | — | NCPDP PROVIDER IDENTIFICATION NUMBER |
| 600059729 | Medicaid | MO | — |
Copy-ready billing details
Provider: Northwest Pharmacy Inc NPI: 1902974140 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 2210 BARRON RD, Poplar Bluff, MO, 63901
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1750370748 | James Gieselmann | Individual | Surgery Physician | Poplar Bluff, MO |
| 1447238035 | Sivaprasad Madduri | Individual | Urology Physician | Poplar Bluff, MO |
| 1225016884 | Gilbert D. Smith, M.D., LLC | Organization | Rural Health Clinic/Center | Poplar Bluff, MO |
| 1578533030 | Panagiotis Paulus | Individual | Ophthalmology Physician | Poplar Bluff, MO |
| 1922078419 | Eye Surgery Consultants, LLP | Organization | Ophthalmology Physician | Poplar Bluff, MO |
| 1134190416 | Robert Smith | Individual | Ophthalmology Physician | Poplar Bluff, MO |
| 1750334744 | Michael E. Critchlow | Organization | Allergy Physician | Poplar Bluff, MO |
| 1205889227 | Semo Gynecology LLC | Organization | Gynecology Physician | Poplar Bluff, MO |
Verify this record
Cross-check NPI 1902974140 against the authoritative CMS record: view Northwest 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
Where is Northwest Pharmacy Inc located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-11-16.