Michael Andrews, RN
Individual provider Active NPI Registered Nurse · Fenton, MO
NPI 1093481665 · NPPES record last updated Aug 23, 2021
Key facts
- NPI
- 1093481665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 132553 (MO)
- Practice address
- 1617 Manufacturers Dr
Fenton, MO 63026-2838 - Phone
- (314) 690-4500
- NPI assigned
- Aug 23, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 132553 | MO | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missouri LTC Pharmacy LLC | Current |
Accepting new patients | |
| Missouri LTC Pharmacy LLC | Past |
Accepting new patients |
Locations
1617 Manufacturers Dr
Fenton, MO 63026
Phone (314) 690-4500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 132553 | MO | Yes |
Addresses
Primary practice location
1617 Manufacturers Dr
Fenton, MO 63026-2838
Mailing address
1617 Manufacturers Dr
Fenton, MO 63026-2838
Phone (314) 690-4500
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Michael.andrews@infiniumpharmacy.com | Direct |
Other providers in Fenton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.