Active NPI
Charles William Pearson
- Pharmacist
- Kirkwood, MO
National Provider Identifier
1053696757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 041510
- Practice address
- 441 N Kirkwood Rd
Kirkwood, MO 63122-3911 - Phone
- (314) 965-7944
- Fax
- (314) 909-7121
- NPI assigned
- Oct 14, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 041510 | MO | Primary |
Addresses
Primary practice location
441 N Kirkwood Rd
Kirkwood, MO 63122-3911
Mailing address
1106 Barkwood Trail CT
Fenton, MO 63026-3794
Phone (314) 600-1534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318550400000",
"number": "1053696757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1106 BARKWOOD TRAIL CT",
"city": "FENTON",
"state": "MO",
"postal_code": "630263794",
"telephone_number": "314-600-1534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 N KIRKWOOD RD",
"city": "KIRKWOOD",
"state": "MO",
"postal_code": "631223911",
"telephone_number": "314-965-7944",
"fax_number": "314-909-7121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "CHARLES",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-14",
"last_updated": "2011-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "041510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kirkwood, MO
- Alyssa Brussee Patel, MSW, LCSW
- Pathway Home Care, LLC
- Pathway Home Care, LLC
- Sarah Marie Patterson-Mills, MA/LPC
- Megan Patterson, M. ED, NCC, PLPC
- William Edward Pearson, M.D.
- Pedaitric Dental and Orthodontic Associates of St Louis
- Amanda Peiffer, D.C.
- Caroline Penberthy, M.S.W., L.C.S.W.
- Maxine Jeanette Pence, LD, RD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.