Lee Trotter, RPH
Individual provider Active NPI Pharmacist · Lake Saint Louis, MO
NPI 1144938176 · NPPES record last updated Nov 8, 2022
Key facts
- NPI
- 1144938176
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 041139 (MO)
- Practice address
- 1001 Spruce Forest Dr
Lake Saint Louis, MO 63367-4589 - Phone
- (816) 590-2092
- NPI assigned
- Nov 8, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041139 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Express Scripts Pharmacy Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 041139 | MO | Yes |
Addresses
Primary practice location
1001 Spruce Forest Dr
Lake Saint Louis, MO 63367-4589
Mailing address
1001 Spruce Forest Dr
Lake Saint Louis, MO 63367-4589
Phone (816) 590-2092
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | other | ||
| CONNECT URL | other | Express Scripts Pharmacy Inc |
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All providers in Lake Saint Louis, MO · Pharmacist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.