ELLIS R ODOM (RPH) – Pharmacist, NPI 1457330219

ELLIS R ODOM (RPH) is a healthcare provider. based in Poplar bluff, Missouri. specializing in Pharmacist. They hold the professional credentials RPH. They hold a License No. 042673 (MO). The NPI Number for ELLIS R ODOM (RPH) is 1457330219

Main info

Male
Name
ELLIS R ODOM (RPH)
NPI
1457330219
Phone
(573) 686-2411
Address
686 LESTER ST
Enumeration Date
11 January 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for ELLIS R ODOM (RPH)

  • 686, Lester Street, Poplar Bluff, Butler County, Missouri, 63901, United States

    POPLAR BLUFF, MO 639015025

    Phone: (573) 686-2411

    Fax: (573) 686-8452

    Type: Location

  • Poplar, Pine Bluff, Jefferson County, Arkansas, 71601, United States

    POPLAR BLUFF, MO 63902

    Phone: (573) 686-2411

    Fax: (573) 686-8452

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63901)

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Reviews

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Frequently asked questions

What federal number belongs to ELLIS R ODOM (RPH)?
The federal identifier for ELLIS R ODOM (RPH) is NPI 1457330219.
Is ELLIS R ODOM (RPH)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does ELLIS R ODOM (RPH) work in?
You can think of ELLIS R ODOM (RPH) as practicing within Pharmacist. Clinical services aligned with this taxonomy classification.
Where does public data place ELLIS R ODOM (RPH)?
The snapshot lists Poplar Bluff, Missouri for ELLIS R ODOM (RPH); download NPPES for the complete set.
How can I contact ELLIS R ODOM (RPH)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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