Hercules Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2009024559 Issued in MO

Legal business name

HERCULES PHARMACY INC

Doing business as

The Medicine Shoppe Pharmacy

Practice address

2514 Woodson Rd
Overland, MO 63114-5437

Phone

(314) 427-1818

Fax

(314) 423-9905

NPI assigned

Jan 30, 2007

Last updated

Feb 20, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bryan HerculesNPI 1588256275

Title

Pharmacist in Charge

Phone

(314) 427-1818

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• The Medicine Shoppe Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bryan Joseph Hercules, RPH, MS

  • Pharmacist
  • Overland, MO
  • NPI 1588256275
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1003952615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 WOODSON RD",
            "city": "OVERLAND",
            "state": "MO",
            "postal_code": "631145437",
            "telephone_number": "314-427-1818",
            "fax_number": "314-423-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 WOODSON RD",
            "city": "OVERLAND",
            "state": "MO",
            "postal_code": "631145437",
            "telephone_number": "314-427-1818",
            "fax_number": "314-423-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERCULES PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "HERCULES",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "314-427-1818"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2009024559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600279202",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2122874",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heart & Soul Health LLC
• Heavenly Hands Healthcare LLC
• Chiamaka Love Helms
• Help at Home, LLC
• Laura Henderson
• Bryan Joseph Hercules, RPH, MS
• Home Matters Home Health Care LLC
• Imagine Me Counseling, LLC
• Innovative Pharmacy Services, LLC (Paragon Infusion Pharmacies)
• Nisha Jasani

• Community/Retail Pharmacy in Overland, MO
• Providers in Overland, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.