Individual provider Active NPI

Karen Chiu

  • Pharmacist
  • Saint Louis, MO
National Provider Identifier
1124630876
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2022041301 Issued in MO
Practice address
4218 Lindell Blvd
Saint Louis, MO 63108-2916
Phone
(314) 371-4286
Fax
(314) 371-4749
NPI assigned
Aug 22, 2020
Reactivated
Aug 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH031088 GA
Pharmacist 183500000X 2022041301 MO Primary

Addresses

Primary practice location

4218 Lindell Blvd
Saint Louis, MO 63108-2916

Mailing address

3204 Peach Orchard Rd
Augusta, GA 30906-4862
Phone (706) 796-7240

Other practice location 1

3204 Peach Orchard Rd
Augusta, GA 30906-4862
Phone (706) 796-7240

Other practice location 2

898 Horizon South Pkwy
Grovetown, GA 30813-3037
Phone (706) 619-2248

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

State licenses

LicenseStateTypeSpecialty
RPH031088GAMDPharmacist
2022041301MOMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince May 1, 2022 Accepting new patients
Walgreen Co CurrentSince Oct 13, 2024 Accepting new patients
Walgreen Co PastSince Aug 1, 2020 Accepting new patients

Locations

898 Horizon South Pkwy
Grovetown, GA 30813
Phone (706) 619-2248

Organizations & group practices 3

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": "1598054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1124630876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 PEACH ORCHARD RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309064862",
            "telephone_number": "706-796-7240",
            "fax_number": "706-619-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4218 LINDELL BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082916",
            "telephone_number": "314-371-4286",
            "fax_number": "314-371-4749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3204 Peach Orchard Rd",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309064862",
            "country_code": "US",
            "telephone_number": "706-796-7240",
            "fax_number": "706-619-2249",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "898 Horizon South Pkwy",
            "address_purpose": "LOCATION",
            "city": "Grovetown",
            "state": "GA",
            "postal_code": "308133037",
            "country_code": "US",
            "telephone_number": "706-619-2248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIU",
        "first_name": "KAREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-22",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "deactivation_date": "2023-07-12",
        "reactivation_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH031088",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2022041301",
            "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 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.