Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457330219 Individual Practitioner Male Practitioner

Ellis R Odom , RPH

Pharmacist • Poplar Bluff, MO

Professional Overview & Biography Verified Profile Summary

Ellis Odom, RPH is a registered healthcare professional specializing in Pharmacist in Poplar Bluff, MO. Practice services are available at 686 LESTER ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

686 Lester St

Poplar Bluff, MO 639015025

Telephone 5736862411
Fax 5736868452
Associated Practice Facility / Clinic
🏢 Kneibert Clinic Llc Facility NPI 1811975436

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

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MO 042673

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

18 Associated Practitioners
Debra Price , FNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1114905346

Family Nurse Practitioner

Dr. Donna Allmon , MD

Family Medicine

NPI 1124093901

Doctor of Medicine (M.D.)

Stacey Bruce , LCSW

Social Worker - Clinical

NPI 1205168374

Licensed Clinical Social Worker

Dr. Bennie Till , MD

Family Medicine

NPI 1235118928

Doctor of Medicine (M.D.)

NPI 1366462798

Registered Nurse, CS, Master of Science in Nursing, Family Nurse Practitioner

Laurie Mcknight , BA, CSS

Community Health Worker

NPI 1376965962

Bachelor of Arts, CSS

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 686 LESTER ST, POPLAR BLUFF, MO 639015025 (Tel: 5736862411)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 220, POPLAR BLUFF, MO 63902 (Tel: 5736862411)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ELLIS ODOM, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (License #042673 in MO)

🟢
Initial NPI Registration & Enumeration January 11, 2006

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: 1457330219
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 11, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

Po Box 220

Poplar Bluff, MO 63902

Phone: 5736862411

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.