NPIMap

Organization Active NPI

Missouri Baptist Medical Center

  • Community/Retail Pharmacy
  • Saint Louis, MO
National Provider Identifier
1154722841
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
20014032494 Issued in MO
Legal business name
MISSOURI BAPTIST MEDICAL CENTER
Practice address
1234 S Kingshighway Blvd Ste 1500
Saint Louis, MO 63110-2179
Phone
(314) 657-9000
Fax
(314) 525-0416
NPI assigned
Sep 12, 2014
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ann Abad
Title
President
Phone
(314) 996-8401

Owned or controlled facilities with NPI records 14

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 14

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 125

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 125

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Family Care Central Pharmacy1234 S Kingshighway Blvd, Saint Louis, MO 63110-2179(314) 657-9000 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jan 1, 2001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200708003725 MO DME Supplier - Pharmacy 3476461955 Practice locations: Saint Louis, MO

All facility ownership & control disclosures 12

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Parkland Health Center - FarmingtonFarmington, MO, CCN 260163 Hospital Operational/Managerial Control Jun 2, 1994
Missouri Baptist Medical CenterSaint Louis, MO, CCN 260108 Hospital Operational/Managerial Control Jun 2, 1994
Missouri Baptist Sullivan HospitalSullivan, MO, CCN 261337 Hospital Operational/Managerial Control Oct 15, 2002
Missouri Baptist Sullivan HospitalSullivan, MO, CCN 26Z337 Hospital Operational/Managerial Control Oct 15, 2002
Missouri Baptist Sullivan HospitalSullivan, MO, CCN 26M337 Hospital Operational/Managerial Control Oct 15, 2002
Parkland Health Center - Bonne TerreBonne Terre, MO, CCN 260779 Hospital Operational/Managerial Control Jun 2, 1994
Missouri Baptist Cuba Medical OfficeCuba, MO, CCN 263407 Rural health clinic Operational/Managerial Control Jun 2, 1994
Sullivan Medical OfficeSullivan, MO, CCN 263487 Rural health clinic Operational/Managerial Control Jun 2, 1994
Bourbon Medical OfficeBourbon, MO, CCN 268527 Rural health clinic Operational/Managerial Control Jun 2, 1994
Missouri Baptist Steelville OfficeSteelville, MO, CCN 268528 Rural health clinic Operational/Managerial Control Jun 2, 1994
Parkland Health Center Medical ClinicFarmington, MO, CCN 268794 Rural health clinic Operational/Managerial Control Jun 1, 1993
Parkland Health Center Primary Care ClinicFarmington, MO, CCN 268807 Rural health clinic Operational/Managerial Control Jun 1, 1993

National Provider Directory

National Provider Directory
Tax ID family
Missouri Baptist Med Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1234 S Kingshighway Blvd
Ste 1500
Saint Louis, MO 63110
Phone (314) 657-9000

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 20014032494 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

1234 S Kingshighway Blvd Ste 1500
Saint Louis, MO 63110-2179

Mailing address

1234 S Kingshighway Blvd Ste 1500
Saint Louis, MO 63110-2179
Phone (314) 657-9000

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
2146835OtherPK

Other names 1

NPPES NPI Registry
  • Family Care Central Pharmacy Doing business as

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 4, 2023.

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1154722841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 S KINGSHIGHWAY BLVD STE 1500",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102179",
            "telephone_number": "314-657-9000",
            "fax_number": "314-525-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 S KINGSHIGHWAY BLVD STE 1500",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102179",
            "telephone_number": "314-657-9000",
            "fax_number": "314-525-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI BAPTIST MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-12",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "ABAD",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-996-8401"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "20014032494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146835",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3844 S Lindbergh Blvd Ste 150",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631271368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Family Care Central Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.