OrganizationActive
Gideon Pharmacy LLC
NPI 1053702118 · Community/Retail Pharmacy · Gideon, MO
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
Established profile(74/100 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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.