Active NPI
Lee Trotter, RPH
- Pharmacist
- Lake Saint Louis, MO
National Provider Identifier
1144938176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 041139
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 041139 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Express Scripts Pharmacy Inc | Past | 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.