Lindbergh Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LINDBERGH PHARMACY LLC

Practice address

Village Square Shop Ctr
Hazelwood, MO 63042

Phone

(314) 281-3583

NPI assigned

Feb 28, 2023

Organization subpart

No

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

Authorized official

Name

Samer Issa, PHARMDNPI 1447912985

Title

Pharmacist

Phone

(314) 281-3583

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samer Fares Issa, PHARMD

  • Pharmacist
  • Saint Louis, MO
  • NPI 1447912985
  NPD Authorized official

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1053010066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 COACHWAY LN",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421379",
            "telephone_number": "314-281-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VILLAGE SQUARE SHOP CTR",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "63042",
            "telephone_number": "314-281-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDBERGH PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "ISSA",
        "authorized_official_first_name": "SAMER",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "314-281-3583",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Leber Jr., PLPC
• Linda Sue Levine
• David Levy, OT, CHT
• Ayrrielle Lewis
• Vanita Lewis
• Barbara Joyce Lindemann, L.AC., DIPL.AC.
• Little Smiles of Hazelwood, LLC
• Live Independent Consumer Direct LLC
• LMD Management, Inc
• Paul E Lohkamp, LCSW

• Community/Retail Pharmacy in Hazelwood, MO
• Providers in Hazelwood, 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 28, 2023; 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.