CITIZENS MEMORIAL HOSPITAL DISTRICT NPI 1801318472

NPI Information

  • NPI: 1801318472
  • Provider Name: CITIZENS MEMORIAL HOSPITAL DISTRICT
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Doing Business As: STEPHENS PHARMACY AT CMH
  • Address: 1100 S SPRINGFIELD AVE
    BOLIVAR, MO
    ZIP 65613
  • Phone: (417) 326-6003

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NPI Details

CITIZENS MEMORIAL HOSPITAL DISTRICT is a pharmacy in Bolivar, MO. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. CITIZENS MEMORIAL HOSPITAL DISTRICT NPI is 1801318472. The provider is registered as an organization entity type.
The provider Is Doing Business As Stephens Pharmacy At Cmh.

The provider's business location address is:

1100 S SPRINGFIELD AVE
BOLIVAR, MO
ZIP 65613-512
Phone: (417) 326-6003
Fax: (417) 777-5806

The provider's authorized official is Renee Marie Meyer .
The authorized official title is Cfo and has the following contact phone number (417) 328-6258.

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 14 res (HCPCS:0134A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Fee covid-19 vac 13 res (HCPCS:0124A)

The enumeration date for this NPI number is 7/14/2017 and was last updated on 12/2/2024.

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
1333600000XPharmacyYes

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
12169973OTHERPK

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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