Provider Demographics
NPI:1629149240
Name:RPCS, INC
Entity Type:Organization
Organization Name:RPCS, INC
Other - Org Name:PRICECUTTER PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C.E.O./PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ERICK
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-829-9200
Mailing Address - Street 1:1878 S STATE HIGHWAY 125
Mailing Address - Street 2:
Mailing Address - City:ROGERSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65742-8357
Mailing Address - Country:US
Mailing Address - Phone:417-829-9281
Mailing Address - Fax:417-829-9204
Practice Address - Street 1:3260 E BATTLEFIELD ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-4051
Practice Address - Country:US
Practice Address - Phone:417-887-5518
Practice Address - Fax:417-887-4308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005003795333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO602818601Medicaid
2634500OtherOTHER ID NUMBER-COMMERCIAL NUMBER
MO5442940011Medicare NSC