Medical West Pharmacy, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

10803009 Issued in MO

Legal business name

MEDICAL WEST PHARMACY, INC

Practice address

19 Ronnies PLZ
Saint Louis, MO 63126-3552

Phone

(314) 290-2200

Fax

(314) 902-2220

NPI assigned

Feb 23, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Alan Sandler

Title

President

Phone

(314) 993-7900

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Medical West Healthcare Center Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Medical West Respiratory Services LLC

  • Oxygen Equipment & Supplies (DME)
  • St Louis, MO
  • NPI 1134140288

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1104066778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 DIELMAN INDUSTRIAL DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631322204",
            "telephone_number": "314-993-7900",
            "fax_number": "314-569-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 RONNIES PLZ",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631263552",
            "telephone_number": "314-290-2200",
            "fax_number": "314-902-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL WEST PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "SANDLER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-993-7900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "850200908",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "10803009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "612829",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620200907",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
            "identifier": "181658",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical West Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medical Implant Sloutions, LLC
• Medical Supplies Only LLC
• Medical Supply DME LLC
• Medical West Ballas Pharmacy LTD
• Medical West Pharmacy Inc
• Medical West Respiratory Services LLC
• Medication First, LLC
• Medicine for Medicine LLC
• Medicore Medical Service LLC
• Mediequip, Inc

• Durable Medical Equipment & Medical Supplies in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.