OrganizationActive
Advanced Healthcare Management Services, LLC
NPI 1477518355 · Community/Retail Pharmacy · Poplar Bluff, MO
Provider details
- NPI number
- 1477518355
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Paula Harris, Chief Executive Officer(573) 778-0020
- License
- 2002010186 (MO)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Suite 102
Poplar Bluff, MO 63901-4045
Phone: (573) 778-1608
Fax: (573) 778-1645
Street-level locationGet directions
Mailing address
P.o. Box 989
Poplar Bluff, MO 63902-0989
Other names (DBA / former)
- Doing business as
- Advanced Healthcare Pharmacy I
Registry dates
- Enumerated
- 2006-04-20
- Last updated
- 2010-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.