ELLIOTT PHARMACY INC NPI 1467609636

NPI Information

  • NPI: 1467609636
  • Provider Name: ELLIOTT PHARMACY INC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Doing Business As: ELLIOTT PHARMACY LTC
  • Address: 2120A NORTH BALTIMORE
    KIRKSVILLE, MO
    ZIP 63501
  • Phone: (660) 665-9871

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NPI Details

ELLIOTT PHARMACY INC is a long term care pharmacy pharmacy in Kirksville, MO. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. ELLIOTT PHARMACY INC NPI is 1467609636. The provider is registered as an organization entity type.
The provider Is Doing Business As Elliott Pharmacy Ltc.

The provider's business location address is:

2120A NORTH BALTIMORE
KIRKSVILLE, MO
ZIP 63501
Phone: (660) 665-9871
Fax: (660) 665-4332

The provider's authorized official is Jeffrey Nelson .
The authorized official title is Owner and has the following contact phone number (660) 665-9871.

The enumeration date for this NPI number is 8/19/2008 and was last updated on 11/18/2011.

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 Pharmacy2008018246MISSOURIYes

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
12638166OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
21467609636MEDICAIDMISSOURI

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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