Organization Active NPI

Blink Health Pharmacy LLC

  • Community/Retail Pharmacy
  • Chesterfield, MO
National Provider Identifier
1063919710
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2018011541 Issued in MO
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2018011541OtherMOMISSOURI BOARD OF PHARMACY

Other names 1

  • Blink Health Pharmacy LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Blink Health Pharmacy LLC2 organizations share this tax ID, including this one

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.

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.

Verify at the official NPI Registry.