Individual provider Active NPI

Jeremy Tyler House, PHARM.D, RPH

  • Pharmacist
  • Florissant, MO
National Provider Identifier
1194494088
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2021036959 Issued in MO
Practice address
500 Howdershell Rd
Florissant, MO 63031-6450
Phone
(314) 837-8717
NPI assigned
Sep 13, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2021036959 MO Primary

Addresses

Primary practice location

500 Howdershell Rd
Florissant, MO 63031-6450

Mailing address

12474 Lyric CT Apt 202
Saint Louis, MO 63146-2845
Phone (314) 807-4060

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
Doctor of Pharmacy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
2021036959MOMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1194494088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12474 LYRIC CT APT 202",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631462845",
            "telephone_number": "314-807-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HOWDERSHELL RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630316450",
            "telephone_number": "314-837-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSE",
        "first_name": "JEREMY",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "PHARM.D, RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2021036959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.