Active NPI
Blink Health Pharmacy LLC
- Community/Retail Pharmacy
- Chesterfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2018011541
- Legal business name
- BLINK HEALTH PHARMACY LLC
- Doing business as
- Blink Health Pharmacy LLC
- Practice address
- 400 S Woods Mill Rd Ste 100
Chesterfield, MO 63017-3427 - Phone
- (314) 356-2943
- Fax
- (314) 558-2641
- NPI assigned
- Apr 10, 2018
- Last updated
- Oct 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Nameth
- Title
- Evp, Pharmacy
- Phone
- (412) 266-5515
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 2018011541 | MO | Primary |
Addresses
Primary practice location
400 S Woods Mill Rd Ste 100
Chesterfield, MO 63017-3427
Mailing address
400 S Woods Mill Rd Ste 100
Chesterfield, MO 63017-3427
Phone (314) 356-2943
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2018011541 | Other | MO | MISSOURI BOARD OF PHARMACY |
Other names 1
- Blink Health Pharmacy LLC
National Provider Directory
National Provider Directory- Tax ID family
- Blink Health Pharmacy LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
100 Chesterfield Business Pkwy
Ste 268
Chesterfield, MO 63005
14515 North Outer 40 Rd
Ste 350
Chesterfield, MO 63017
Phone (314) 356-2943
400 S Woods Mill Rd
Ste 100
Chesterfield, MO 63017
Phone (314) 356-2943
Practitioners & affiliated clinicians
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.
-
- Pharmacist
- Chesterfield, MO
- NPI 1609198506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729814400000",
"number": "1063919710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 S WOODS MILL RD STE 100",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630173427",
"telephone_number": "314-356-2943",
"fax_number": "314-558-2641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S WOODS MILL RD STE 100",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630173427",
"telephone_number": "314-356-2943",
"fax_number": "314-558-2641"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLINK HEALTH PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-10",
"last_updated": "2024-10-25",
"certification_date": "2024-10-25",
"status": "A",
"authorized_official_last_name": "NAMETH",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "EVP, PHARMACY",
"authorized_official_telephone_number": "412-266-5515"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MO",
"license": "2018011541",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSOURI BOARD OF PHARMACY",
"identifier": "2018011541",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Blink Health Pharmacy LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.