TPD Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2017010896 Issued in MO

Legal business name

TPD PHARMACY

Practice address

5937 W Florissant Ave Ste 1
Saint Louis, MO 63136-4952

Phone

(314) 381-2224

Fax

(314) 381-1771

NPI assigned

Apr 11, 2017

Organization subpart

No

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

Authorized official

Name

Tracy Reed, PODIATRIST

Title

Owner

Phone

(314) 381-2224

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• TPD Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1174056642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5937 W FLORISSANT AVE STE 1",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631364952",
            "telephone_number": "314-381-2224",
            "fax_number": "314-381-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5937 W FLORISSANT AVE STE 1",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631364952",
            "telephone_number": "314-381-2224",
            "fax_number": "314-381-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TPD PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-11",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-381-2224",
        "authorized_official_credential": "PODIATRIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2017010896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600052707",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168841",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TPD Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.