OrganizationActive
Gideon Pharmacy LLC
NPI 1053702118 · Community/Retail Pharmacy · Gideon, MO
Gideon Pharmacy LLC is a Community/Retail Pharmacy organization in Gideon, MO (NPI 1053702118).
Provider details
- NPI number
- 1053702118
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Abraham Funk, Owner(573) 334-1300
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
111 Main Street
Gideon, MO 63848
Phone: (573) 448-3333
Fax: (573) 448-3335
Street-level locationGet directions
Mailing address
2001 Independence St
Cape Girardeau, MO 63703-5805
Other names (DBA / former)
- Doing business as
- John'S Pharmacy Gideon
Registry dates
- Enumerated
- 2015-02-11
- Last updated
- 2024-05-17
- Certified
- 2024-05-17
Frequently asked questions
- What is Gideon Pharmacy LLC's NPI number?
- Gideon Pharmacy LLC's National Provider Identifier (NPI) is 1053702118, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gideon Pharmacy LLC?
- Gideon Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Gideon Pharmacy LLC located?
- Gideon Pharmacy LLC's practice location on file with NPPES is 111 Main Street, Gideon, MO 63848.
- What is Gideon Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Gideon Pharmacy LLC is (573) 448-3333.
- Who is the authorized official for Gideon Pharmacy LLC?
- The authorized official listed on Gideon Pharmacy LLC's NPPES record is Abraham Funk, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gideon Pharmacy LLC's NPI active?
- Yes — Gideon Pharmacy LLC's NPI (1053702118) is active in the NPPES registry as of the last update on 2024-05-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.