Hines Street Pharmacy Llc
Community/Retail Pharmacy
1173 E Hines St, Republic
Missouri, 65738-1277
417-735-0055 417-732-1529
Hines Street Pharmacy Llc is a Community/Retail Pharmacy in Republic, Missouri. It is located at 1173 E Hines St, Republic and it's customer support contact number is 417-735-0055. The authorized person of Hines Street Pharmacy Llc is Mr. Stephen L Mcclanahan Ii, RPH. who is Owner of the pharmacy and his contact number is 417-735-0055. Active license number of Hines Street Pharmacy Llc is 2012001548 for Community/Retail Pharmacy in Missouri. Hines Street Pharmacy Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Hines Street Pharmacy Llc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Hines Street Pharmacy Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Hines Street Pharmacy Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 1173 E Hines St, Republic,
Missouri, 65738-1277 |
| Phone: | 417-735-0055 |
| Fax: | 417-732-1529 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Stephen L Mcclanahan Ii |
| Credentials: | RPH. |
| Position: | Owner |
| Contact Number: | 417-735-0055 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1740559764 |
| NPI Enumeration Date: | 20 Dec, 2011 |
| NPI Last Update On: | 24 Nov, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Hines Street Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 2012001548 | Missouri | Primary | |
| Diabetes Educator | | | Secondary | |
| Long Term Care Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2133471 | Other | | Pk |
| 609551700 | Medicaid | Missouri | |
Medicare Enrollment:
Hines Street Pharmacy Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 7214181205 | O20130128000400 | Hines Street Pharmacy Llc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1173 E Hines St,
Republic, Missouri |
| Zip: | 65738-1277 |
| Phone Number: | 417-735-0055 |
| Fax Number: | 417-732-1529 |
Patients can reach Hines Street Pharmacy Llc at
1173 E Hines St, Republic, Missouri or can
call on customer care at 417-735-0055.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.