MEDICARE: THE PHARMACY I LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0004X	Compounding Pharmacy
2	3336S0011X	Specialty Pharmacy
3	333600000X	Pharmacy
4	3336C0003X	Community/Retail Pharmacy	2017004711	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2168308	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083155626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE PHARMACY I LLC

Provider Business Mailing Address
First Line	:	5492 HIGHWAY H UNIT E
Second Line	:
City	:	PLEASANT HOPE
State	:	MO
Zip	:	65725-8227
Country	:	US
Telephone Number	:	417-267-6337
Fax Number	:	417-267-2013

Provider Business Practice Location Address
First Line	:	5492 HIGHWAY H UNIT E
Second Line	:
City	:	PLEASANT HOPE
State	:	MO
Zip	:	65725-8227
Country	:	US
Telephone Number	:	417-267-6337
Fax Number	:	417-267-2013

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	WHITNEY CHRISTOPHER GROVE
Credential	:
Telephone Number	:	417-267-6337

Provider Enumeration Date	:	03/15/2017
Last Update Date	:	12/17/2024

Similar Medicare Providers

1346973070 — RAHELA LUP
Practice Location Address:

5492 HIGHWAY H UNIT E
PLEASANT HOPE, MO
65725-8227

Practice Phone: 417-267-6337
Practice Fax:

1124752563 — COLBY GROVE PHARMD
Practice Location Address:

5492 HIGHWAY H UNIT E
PLEASANT HOPE, MO
65725-8227

Practice Phone: 417-840-6912
Practice Fax:

1740494541 — CITIZENS MEMORIAL HEALTHCARE
Practice Location Address:

209 S MAIN ST
PLEASANT HOPE, MO
65725-8121

Practice Phone: 417-267-2001
Practice Fax: 417-267-2004

1508010422 — PLEASANT HOPE SCHOOL DIST R6
Practice Location Address:

303 N MAIN ST
PLEASANT HOPE, MO
65725-8108

Practice Phone: 417-267-2850
Practice Fax: 417-267-4373

1316191232 — JEANNE E HERMANN
Practice Location Address:

303 N MAIN ST
PLEASANT HOPE, MO
65725-8108

Practice Phone: 417-267-2277
Practice Fax: 417-267-4304

1194020958 — MRS. BETTY KAY ENNIS PLPC
Practice Location Address:

8589 N FARM ROAD 157
PLEASANT HOPE, MO
65725-9143

Practice Phone: 417-763-0979
Practice Fax:

Directions to “THE PHARMACY I LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.