NPIMap

Organization Active NPI

Medical West Pharmcay, Inc

Doing business as Medical West Healthcare Center

  • Durable Medical Equipment & Medical Supplies
  • Saint Peters, MO
National Provider Identifier
1033217880
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDICAL WEST PHARMCAY, INC
Doing business as
Medical West Healthcare Center
Practice address
4630 Mexico Rd
Saint Peters, MO 63376-1607
Phone
(636) 477-1888
NPI assigned
Sep 20, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Daniel K Lane Jr.
Title
Cfo
Phone
(314) 993-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4630 Mexico Rd
Saint Peters, MO 63376-1607

Mailing address

9301 Dielman Industrial Dr
Saint Louis, MO 63132-2204
Phone (314) 993-7900

Other identifiers 2

IdentifierTypeStateIssuer
6903OtherMOGROUP HEALTH PLAN
29775OtherMOBLUECROSS BLUE SHIELD MO

Other names 1

  • Medical West Healthcare Center Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 5

Organizations listed as members of this organization in the National Provider Directory.

Locations

9301 Dielman Industrial Dr
Saint Louis, MO 63132
Phone (314) 993-7900

4630 Mexico Rd
Saint Peters, MO 63376
Phone (636) 477-1888

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1033217880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 DIELMAN INDUSTRIAL DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631322204",
            "telephone_number": "314-993-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 MEXICO RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761607",
            "telephone_number": "636-477-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL WEST PHARMCAY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "314-993-7900",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "6903",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD MO",
            "identifier": "29775",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical West Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.