Active NPI
Esse Health Pharmacy
- Community/Retail Pharmacy
- Saint Louis, MO
National Provider Identifier
1104503663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- Esquire Clinic Inc. (Esquire Sports Medicine)
- Esquire Sports Medicine South
- Ilia Esrig, LCSW
- Kristen Lee Essary, NURSE ANESTHETIST
- Esse Health Heal at Home LLC (Esse Health Hospital at Home)
- Essence Healthcare Services LLC
- Essential Care Plus LLC
- Essential Eyecare, LLC
- Essential Health and Wellness, LLC
- Essential Health, LLC
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.