OrganizationActive
Missouri Med LLC
NPI 1477412963 · Long Term Care Pharmacy · Saint Louis, MO
Missouri Med LLC is a Long Term Care Pharmacy organization in Saint Louis, MO (NPI 1477412963).
Provider details
- NPI number
- 1477412963
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Parent organization
- Missouri Med LLC
- Organization subpart
- Yes
- Authorized official
- Jackie Mchugh, Office Manager(573) 335-3044
Specialties & taxonomies
Suppliers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
11643 Lilburn Park Rd
Saint Louis, MO 63146-3535
Phone: (314) 445-2900
Approximate (ZIP-level) locationGet directions
Mailing address
2215 Broadway St
Cape Girardeau, MO 63701-4403
Other names (DBA / former)
- Doing business as
- Missouri Med St Louis
Registry dates
- Enumerated
- 2026-01-20
- Last updated
- 2026-01-20
- Certified
- 2026-01-20
Frequently asked questions
- What is Missouri Med LLC's NPI number?
- Missouri Med LLC's National Provider Identifier (NPI) is 1477412963, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Missouri Med LLC?
- Missouri Med LLC is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Missouri Med LLC located?
- Missouri Med LLC's practice location on file with NPPES is 11643 Lilburn Park Rd, Saint Louis, MO 63146-3535.
- What is Missouri Med LLC's phone number?
- The practice phone number listed in the NPPES registry for Missouri Med LLC is (314) 445-2900.
- Who is the authorized official for Missouri Med LLC?
- The authorized official listed on Missouri Med LLC's NPPES record is Jackie Mchugh, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Missouri Med LLC's NPI active?
- Yes — Missouri Med LLC's NPI (1477412963) is active in the NPPES registry as of the last update on 2026-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.