NPIMap

Organization Active NPI

BJC Behavioral Health

Doing business as BJC Behavioral Southeast Pharmacy

  • Pharmacy
  • Farmington, MO
National Provider Identifier
1114268935
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
BJC BEHAVIORAL HEALTH
Doing business as
BJC Behavioral Southeast Pharmacy
Practice address
1085 Maple St
Farmington, MO 63640-1955
Phone
(573) 756-5353
NPI assigned
Mar 4, 2013
Last updated
Aug 18, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
BJC BEHAVIORAL HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Authorized official

Name
Angela Martin-Davis
Title
President
Phone
(314) 206-3712

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

1085 Maple St
Farmington, MO 63640-1955

Mailing address

1085 Maple St
Farmington, MO 63640-1955
Phone (573) 756-5353

Other names 1

  • BJC Behavioral Southeast Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Christine M Ladd MD15 organizations share this tax ID, including this one
Part of
Christine M Ladd MD

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1114268935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 MAPLE ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401955",
            "telephone_number": "573-756-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 MAPLE ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401955",
            "telephone_number": "573-756-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BJC BEHAVIORAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BJC BEHAVIORAL HEALTH",
        "enumeration_date": "2013-03-04",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "MARTIN-DAVIS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-206-3712"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BJC Behavioral Southeast Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.