NPIMap

Organization Active NPI

Express Scripts Specialty Distribution Services, Inc.

  • Specialty Pharmacy
  • Saint Louis, MO
National Provider Identifier
1083029540
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
2011036221 Issued in MO
Legal business name
EXPRESS SCRIPTS SPECIALTY DISTRIBUTION SERVICES, INC.
Doing business as
Express Scripts Specialty Distribution Services, Inc.
Practice address
4700 North Hanley Road
Suite a
St. Louis, MO 63134
Phone
(800) 332-5455
Fax
(877) 304-9042
NPI assigned
Jun 24, 2014
Last updated
May 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Authorized official

Name
Susan Peppers
Title
Assistant Secretary
Phone
(513) 858-4916

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU
Specialty Pharmacy 3336S0011X 2011036221 MO Primary

Addresses

Primary practice location

4700 North Hanley Road
Suite a
St. Louis, MO 63134

Mailing address

4700 North Hanley Road
Suite a
St. Louis, MO 63134
Phone (800) 332-5455

Other identifiers 1

IdentifierTypeStateIssuer
2146320OtherPK

Other names 1

  • Express Scripts Specialty Distribution Services, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Express Scripts Specialty Dist SVCS2 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

4700 N Hanley Rd
Ste A
Saint Louis, MO 63134
Phone (314) 475-6101

Practitioners & affiliated clinicians

Practitioners 3

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": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1083029540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 NORTH HANLEY ROAD",
            "address_2": "SUITE A",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63134",
            "telephone_number": "800-332-5455",
            "fax_number": "877-304-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 NORTH HANLEY ROAD",
            "address_2": "SUITE A",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63134",
            "telephone_number": "800-332-5455",
            "fax_number": "877-304-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS SCRIPTS SPECIALTY DISTRIBUTION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "PEPPERS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "513-858-4916"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "MO",
            "license": "2011036221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146320",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Scripts Specialty Distribution Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Express Scripts Specialty Distribution Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.