St. Louis College of Pharmacy

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

2011033287 Issued in MO

Legal business name

ST. LOUIS COLLEGE OF PHARMACY

Practice address

14733 Piety Cir
Florissant, MO 63034-3133

Phone

(404) 281-1407

NPI assigned

Jun 23, 2014

Last updated

Jun 23, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Albert Pieper, PHARMD

Title

President

Phone

(314) 446-8500

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

St Louis College of Pharmacy2 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.

• St. Louis College of Pharmacy

  • Pharmacotherapy Pharmacist
  • Saint Louis, MO
  • NPI 1265710560
  NPD tax ID

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1083029516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14733 PIETY CIR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630343133",
            "telephone_number": "404-281-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14733 PIETY CIR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630343133",
            "telephone_number": "404-281-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LOUIS COLLEGE OF PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "PIEPER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-446-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MO",
            "license": "2011033287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA BOARD OF  PHARMACY",
            "identifier": "024294",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI BOARD OF PHARMACY",
            "identifier": "2011033287",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF PHARMACY",
            "identifier": "52581",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• SSM Depaul Medical Group, Inc. (DePaul Medical Group at Cross Keys)
• SSM Medical Group, Inc. (SSM Health Medical Group)
• SSM Select Rehab St. Louis, LLC
• St Louis Kidney Care LLC
• St. Elizabeth Healthcare and Rehabilitation Center
• St. Louis JC Vamc
• St. Louis Medical Rehab Group LLC
• St. Sophia Healthcare, LLC (St. Sophia Health & Rehab Center)
• Kaela Stahlhut, MT-BC
• Kathy Stanley

• Exclusive Provider Organization in Florissant, MO
• Providers in Florissant, MO by specialty
• Exclusive Provider Organization in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.