KNL PRESCRIPTIONS LLC NPI 1265421663

NPI Information

  • NPI: 1265421663
  • Provider Name: KNL PRESCRIPTIONS LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: BROADWAY PHARMACY
  • Address: 710 BROADWAY ST
    CAPE GIRARDEAU, MO
    ZIP 63701
  • Phone: (573) 335-8207

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NPI Details

KNL PRESCRIPTIONS LLC is a community/retail pharmacy pharmacy in Cape Girardeau, 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. KNL PRESCRIPTIONS LLC NPI is 1265421663. The provider is registered as an organization entity type.
The provider Is Doing Business As Broadway Pharmacy.

The provider's business location address is:

710 BROADWAY ST
CAPE GIRARDEAU, MO
ZIP 63701-514
Phone: (573) 335-8207
Fax: (573) 335-4904

The provider's authorized official is Kevin Wood .
The authorized official title is Owner and has the following contact phone number (573) 335-8207.

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.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Influenza vaccine, quadrivalent derived from cell cultures (HCPCS:90756)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Adm sarscv2 30mcg trs-sucr 3 (HCPCS:0053A)
  • Adm sarscov2 30mcg/0.3ml 3rd (HCPCS:0003A)
  • Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)

The enumeration date for this NPI number is 10/18/2005 and was last updated on 7/19/2018.

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
1333600000XPharmacyNo
23336M0002XPharmacyMail Order PharmacyNo
33336S0011XPharmacySpecialty PharmacyNo
43336C0003XPharmacyCommunity/Retail Pharmacy2011012280MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1600200208MEDICAIDMISSOURI
22130422OTHERPK

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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