Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Hines Street Pharmacy 2 LLC

Organization Family Medicine Physician · NPI 1790439842

Hines Street Pharmacy 2 LLC is a Family Medicine Physician in Republic, Missouri. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1173 E Hines St
Republic, MO 65738-1277
Phone: (417) 735-0055
Fax: (417) 732-1529
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Clinic/Center Taxonomy 261Q00000X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X

Record details

NPI number1790439842
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steve McClanahan — Owner · (417) 735-0055
NPI enumeratedFebruary 8, 2022
Last updated in NPPESAugust 25, 2022
Certification dateAugust 25, 2022
Mailing address1173 E Hines St, Republic, MO 65738-1277

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