Southeast Hospital
Community/Retail Pharmacy
1723 Broadway Ste 110, Cape Girardeau
Missouri, 63701
573-331-7900 573-331-7909
Southeast Hospital is a Community/Retail Pharmacy in Cape Girardeau, Missouri. It is located at 1723 Broadway Ste 110, Cape Girardeau and it's customer support contact number is 573-331-7900. The authorized person of Southeast Hospital is Krista Berry who is Cfo of the pharmacy and his contact number is 573-331-6028. Active license number of Southeast Hospital is 006426 for Community/Retail Pharmacy in Missouri. Southeast Hospital accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Southeast Hospital 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:
Southeast Hospital 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: | Southeast Hospital |
| Type: | Community/Retail Pharmacy |
| Location: | 1723 Broadway Ste 110, Cape Girardeau,
Missouri, 63701 |
| Phone: | 573-331-7900 |
| Fax: | 573-331-7909 |
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: | Krista Berry |
| Position: | Cfo |
| Contact Number: | 573-331-6028 |
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: | 1336150846 |
| NPI Enumeration Date: | 10 Aug, 2006 |
| NPI Last Update On: | 13 Jan, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southeast Hospital are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 006426 | Missouri | Primary | |
| Long Term Care Pharmacy | | | Secondary | |
| 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 |
| 2631996 | Other | | Ncpdp Provider Identification Number |
| 603829300 | Medicaid | Missouri | |
Medicare Enrollment:
Southeast Hospital 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 |
| 7719897776 | O20100930010521 | Southeast Hospital | DME SUPPLIER - PHARMACY |
Products Available:
Southeast Hospital has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Ostomy Supplies |
| • Surgical Dressings | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1723 Broadway Ste 110,
Cape Girardeau, Missouri |
| Zip: | 63701 |
| Phone Number: | 573-331-7900 |
| Fax Number: | 573-331-7909 |
Patients can reach Southeast Hospital at
1723 Broadway Ste 110, Cape Girardeau, Missouri or can
call on customer care at 573-331-7900.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.