Hines Street Pharmacy 2 LLC
NPI 1790439842 · Family Medicine Physician · Republic, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hines Street Pharmacy 2 LLC is a Family Medicine Physician organization in Republic, MO (NPI 1790439842).
Provider details
- NPI number
- 1790439842
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Steve Mcclanahan, Owner(417) 735-0055
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Registry dates
- Enumerated
- 2022-02-08
- Last updated
- 2022-08-25
- Certified
- 2022-08-25
Frequently asked questions
- What is Hines Street Pharmacy 2 LLC's NPI number?
- Hines Street Pharmacy 2 LLC's National Provider Identifier (NPI) is 1790439842, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Hines Street Pharmacy 2 LLC?
- Hines Street Pharmacy 2 LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Hines Street Pharmacy 2 LLC located?
- Hines Street Pharmacy 2 LLC's practice location on file with NPPES is 1173 E Hines St, Republic, MO 65738-1277.
- What is Hines Street Pharmacy 2 LLC's phone number?
- The practice phone number listed in the NPPES registry for Hines Street Pharmacy 2 LLC is (417) 735-0055.
- Does Hines Street Pharmacy 2 LLC accept Medicare?
- Hines Street Pharmacy 2 LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Hines Street Pharmacy 2 LLC?
- The authorized official listed on Hines Street Pharmacy 2 LLC's NPPES record is Steve Mcclanahan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Hines Street Pharmacy 2 LLC's NPI active?
- Yes — Hines Street Pharmacy 2 LLC's NPI (1790439842) is active in the NPPES registry as of the last update on 2022-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.