Individual provider Active NPI

Laura Moretti Challen, PHARM.D., BCPS, MBA

  • Pharmacist
  • St. Louis, MO
National Provider Identifier
1114023801
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2011038925 Issued in MO
Practice address
4901 Forest Park Ave., Floor 2
Barnes-Jewish Hospital, Center for Outpatient Health
St. Louis, MO 63108
Phone
(314) 362-8484
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 43431 TX
Pharmacist 183500000X 2011038925 MO Primary
Pharmacist 183500000X PH26411 MA

Addresses

Primary practice location

4901 Forest Park Ave., Floor 2
Barnes-Jewish Hospital, Center for Outpatient Health
St. Louis, MO 63108

Mailing address

4588 Parkview Place
St. Louis, MO 63110
Phone (314) 446-8512

Other names 1

  • Laura Virginia Moretti Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Chicago, IL 60677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PH26411MAMDPharmacist
2011038925MOMDPharmacist
43431TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Louis College of Pharmacy Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336608000000",
    "number": "1114023801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4588 PARKVIEW PLACE",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63110",
            "telephone_number": "314-446-8512",
            "fax_number": "314-446-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 FOREST PARK AVE., FLOOR 2",
            "address_2": "BARNES-JEWISH HOSPITAL, CENTER FOR OUTPATIENT HEALTH",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63108",
            "telephone_number": "314-362-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALLEN",
        "first_name": "LAURA",
        "middle_name": "MORETTI",
        "name_prefix": "Dr.",
        "credential": "PHARM.D., BCPS, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2012-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "43431",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2011038925",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH26411",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "MORETTI",
            "middle_name": "VIRGINIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St. Louis, MO

Sources for this page

Verify at the official NPI Registry.