Individual provider Active NPI

John Aldrich Talili, PHARMD

  • Oncology Pharmacist
  • Lake St Louis, MO
National Provider Identifier
1093626541
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology PharmacistTaxonomy code 1835X0200X
License
2019032453 Issued in MO
Practice address
400 Medical PLZ Ste 100
Lake St Louis, MO 63367-1493
Phone
(636) 639-8600
Fax
(636) 639-8676
NPI assigned
Sep 14, 2026
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Pharmacist 1835X0200X 2019032453 MO Primary

Addresses

Primary practice location

400 Medical PLZ Ste 100
Lake St Louis, MO 63367-1493

Mailing address

400 Medical PLZ Ste 100
Lake St Louis, MO 63367-1493
Phone (636) 625-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1093626541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MEDICAL PLZ STE 100",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671493",
            "telephone_number": "636-625-5200",
            "fax_number": "636-639-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MEDICAL PLZ STE 100",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671493",
            "telephone_number": "636-639-8600",
            "fax_number": "636-639-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALILI",
        "first_name": "JOHN",
        "middle_name": "ALDRICH",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835X0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Oncology",
            "state": "MO",
            "license": "2019032453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake St Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; 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.