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Active NPI 1215537758 Individual Practitioner Male Practitioner

Logan Randolph

Pharmacist • Poplar Bluff, MO

Professional Overview & Biography Verified Profile Summary

Logan Randolph is a registered healthcare professional specializing in Pharmacist in Poplar Bluff, MO. Practice services are available at 333 S WESTWOOD BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

333 S Westwood Blvd

Poplar Bluff, MO 639015519

Telephone 5736866539
Associated Practice Facility / Clinic
🏢 Wal-Mart Stores East Lp Facility NPI 1235156555

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Poplar Bluff, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.7 Yrs
Regional Practice Density
60 Specialists

Practicing in Poplar Bluff, MO (5469 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-10-26
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MO 2016020572

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1225638760
NPI 1275959538

Registered Pharmacist

Dillon Demaree

Pharmacist

NPI 1487254934

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 26, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 26, 2020

Registered at 333 S WESTWOOD BLVD, POPLAR BLUFF, MO 639015519 (Tel: 5736866539)

📍
Updated Business Mailing Address October 26, 2020

Registered at 976 SUNNY VALLEY LN, POPLAR BLUFF, MO 639016679 (Tel: 5739441691)

👤
Provider Name / Credentials Updated October 26, 2020

Recorded as LOGAN RANDOLPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2020

Pharmacist (License #2016020572 in MO)

🟢
Initial NPI Registration & Enumeration October 26, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215537758
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2020
Last Update: October 26, 2020
Sole Proprietor: Yes

Mailing Address

976 Sunny Valley Ln

Poplar Bluff, MO 639016679

Phone: 5739441691

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.