Organization Active NPI

Esse Health Pharmacy

  • Community/Retail Pharmacy
  • Saint Louis, MO
National Provider Identifier
1104503663
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ESSE HEALTH PHARMACY
Practice address
13303 Tesson Ferry Rd Ste 125
Saint Louis, MO 63128-4076
Phone
(636) 323-8030
Fax
(636) 323-8050
NPI assigned
Jun 28, 2023
Last updated
Oct 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Authorized official

Name
Sebastian Fonseca
Title
Credential Specialist
Phone
(956) 379-5667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

13303 Tesson Ferry Rd Ste 125
Saint Louis, MO 63128-4076

Mailing address

13303 Tesson Ferry Rd Ste 125
Saint Louis, MO 63128-4076
Phone (636) 323-8030

National Provider Directory

National Provider Directory

Locations

13303 Tesson Ferry Rd
Ste 125
Saint Louis, MO 63128
Phone (314) 270-8540

NPI Registry JSON

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1104503663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13303 TESSON FERRY RD STE 125",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631284076",
            "telephone_number": "636-323-8030",
            "fax_number": "636-323-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13303 TESSON FERRY RD STE 125",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631284076",
            "telephone_number": "636-323-8030",
            "fax_number": "636-323-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSE HEALTH PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "FONSECA",
        "authorized_official_first_name": "SEBASTIAN",
        "authorized_official_title_or_position": "CREDENTIAL SPECIALIST",
        "authorized_official_telephone_number": "956-379-5667"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 11, 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.