Four States Apothecary LLC
NPI 1952876948 · Community/Retail Pharmacy · Carl Junction, MO
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Four States Apothecary LLC is a Community/Retail Pharmacy organization in Carl Junction, MO (NPI 1952876948).
Provider details
- NPI number
- 1952876948
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Mark Mayberry, Pharmacy Ownder(417) 529-1815
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
7 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
62 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 38 | $28 |
| Admn Sarscov2 Vacc 1 Dose90480 | 24 | $39 |
Typical Medicare-allowed amounts for these services range $28–$39 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Cj Pharmacy
Registry dates
- Enumerated
- 2018-10-05
- Last updated
- 2018-10-05
Frequently asked questions
- What is Four States Apothecary LLC's NPI number?
- Four States Apothecary LLC's National Provider Identifier (NPI) is 1952876948, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Four States Apothecary LLC?
- Four States Apothecary LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Four States Apothecary LLC located?
- Four States Apothecary LLC's practice location on file with NPPES is 102 S Main St, Carl Junction, MO 64834-1000.
- What is Four States Apothecary LLC's phone number?
- The practice phone number listed in the NPPES registry for Four States Apothecary LLC is (417) 649-7021.
- Does Four States Apothecary LLC accept Medicare?
- Four States Apothecary 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 Four States Apothecary LLC?
- The authorized official listed on Four States Apothecary LLC's NPPES record is Mark Mayberry, Pharmacy Ownder. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Four States Apothecary LLC's NPI active?
- Yes — Four States Apothecary LLC's NPI (1952876948) is active in the NPPES registry as of the last update on 2018-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.