Organization Active NPI

Breezeway Pharmacy LLC

Doing business as Breezeway Pharmacy

  • Community/Retail Pharmacy
  • Chesterfield, MO
National Provider Identifier
1164164372
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BREEZEWAY PHARMACY LLC
Doing business as
Breezeway Pharmacy
Practice address
16216 Baxter Rd Ste 140
Chesterfield, MO 63017-4778
Phone
(314) 805-1467
NPI assigned
Apr 8, 2022
Last updated
Apr 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Authorized official

Name
Linda Pratt
Title
Owner
Phone
(314) 805-1467

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

16216 Baxter Rd Ste 140
Chesterfield, MO 63017-4778

Mailing address

16216 Baxter Rd Ste 140
Chesterfield, MO 63017-4778

Other names 1

  • Breezeway Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1164164372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16216 BAXTER RD STE 140",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16216 BAXTER RD STE 140",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174778",
            "telephone_number": "314-805-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREEZEWAY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-805-1467"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breezeway Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.