OrganizationActive
Southeast Health Pharmacy LLC
NPI 1396189767 · Community/Retail Pharmacy · Poplar Bluff, MO
Southeast Health Pharmacy LLC is a Community/Retail Pharmacy organization in Poplar Bluff, MO (NPI 1396189767).
Provider details
- NPI number
- 1396189767
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Mike Mcafee, Pic(573) 778-1608
- License
- 2013001184 (MO)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
2002 Kanell Blvd
Ste 102
Poplar Bluff, MO 63901-4045
Phone: (573) 778-1608
Fax: (573) 778-1645
Street-level locationGet directions
Mailing address
Po Box 989
Poplar Bluff, MO 63902-0989
Other names (DBA / former)
- Doing business as
- Southeasthealth Pharmacy
Registry dates
- Enumerated
- 2013-04-29
- Last updated
- 2016-02-03
Frequently asked questions
- What is Southeast Health Pharmacy LLC's NPI number?
- Southeast Health Pharmacy LLC's National Provider Identifier (NPI) is 1396189767, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeast Health Pharmacy LLC?
- Southeast Health Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Southeast Health Pharmacy LLC located?
- Southeast Health Pharmacy LLC's practice location on file with NPPES is 2002 Kanell Blvd, Poplar Bluff, MO 63901-4045.
- What is Southeast Health Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Southeast Health Pharmacy LLC is (573) 778-1608.
- Who is the authorized official for Southeast Health Pharmacy LLC?
- The authorized official listed on Southeast Health Pharmacy LLC's NPPES record is Mike Mcafee, Pic. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeast Health Pharmacy LLC's NPI active?
- Yes — Southeast Health Pharmacy LLC's NPI (1396189767) is active in the NPPES registry as of the last update on 2016-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.