Individual provider Active NPI

Joseph Martin Raible, PHARMD, PHD, RPH

  • Pharmacist
  • Saint Louis, MO
National Provider Identifier
1124544390
Registry record updated Aug 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2017029297 Issued in MO
Practice address
2657 Clifton Ave
Saint Louis, MO 63139-2806
Phone
(314) 775-5246
NPI assigned
Aug 18, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2017029297 MO Primary

Addresses

Primary practice location

2657 Clifton Ave
Saint Louis, MO 63139-2806

Mailing address

2657 Clifton Ave
Saint Louis, MO 63139-2806
Phone (314) 775-5246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy, Doctor of Pharmacy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
2017029297MOMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503014400000",
    "number": "1124544390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2657 CLIFTON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631392806",
            "telephone_number": "314-775-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2657 CLIFTON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631392806",
            "telephone_number": "314-775-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIBLE",
        "first_name": "JOSEPH",
        "middle_name": "MARTIN",
        "credential": "PHARMD, PHD, RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-18",
        "last_updated": "2017-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2017029297",
            "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 Aug 18, 2017; 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.