Individual provider Active NPI

Lee Trotter, RPH

  • Pharmacist
  • Lake Saint Louis, MO
National Provider Identifier
1144938176
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
041139 Issued in MO
Practice address
1001 Spruce Forest Dr
Lake Saint Louis, MO 63367-4589
Phone
(816) 590-2092
NPI assigned
Nov 8, 2022
Last updated
Nov 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 041139 MO Primary

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 2

TypeEndpointUseAffiliation
Other URL other
CONNECT URL other Express Scripts Pharmacy Inc

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
041139MOMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Express Scripts Pharmacy Inc PastSince Apr 30, 2023 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1144938176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SPRUCE FOREST DR",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633674589",
            "telephone_number": "816-590-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SPRUCE FOREST DR",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633674589",
            "telephone_number": "816-590-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROTTER",
        "first_name": "LEE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "041139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "other",
            "affiliation": "N",
            "address_1": "1001 Spruce Forest Dr",
            "city": "Lake Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633674589",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "other",
            "affiliation": "Y",
            "affiliationName": "Express Scripts Pharmacy Inc",
            "address_1": "4750 E 450 S",
            "city": "Whitestown",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460758404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.