PUREMEDS LLC NPI 1104571363

NPI Information

  • NPI: 1104571363
  • Provider Name: PUREMEDS LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: BIG BEND PHARMACY
  • CLIA Number: 26D2258415
  • Address: 659 BIG BEND RD
    MANCHESTER, MO
    ZIP 63021
  • Phone: (636) 438-5095

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NPI Details

PUREMEDS LLC is a community/retail pharmacy pharmacy in Manchester, MO. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. PUREMEDS LLC NPI is 1104571363. The provider is registered as an organization entity type.
The provider Is Doing Business As Big Bend Pharmacy.

The provider's business location address is:

659 BIG BEND RD
MANCHESTER, MO
ZIP 63021-723
Phone: (636) 438-5095

The provider's authorized official is Hareesh Kumar Reddy Palli .
The authorized official title is Pharmacy Manager/owner and has the following contact phone number (314) 359-2389.

The CLIA number assigned to this NPI record is 26D2258415 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Coronavirus vaccine 13 (HCPCS:91312)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Coronavirus vaccine 14 (HCPCS:91313)

The enumeration date for this NPI number is 2/16/2022 and was last updated on 3/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336L0003XPharmacyLong Term Care PharmacyNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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