Sergio Barranco Medina

Primary specialty

PharmacistTaxonomy code 183500000X

License

2016019830 Issued in MO

Practice address

3171 Riverport Tech Center Dr
Maryland Heights, MO 63043-4825

Phone

(314) 627-6121

Fax

(314) 983-0143

NPI assigned

Jul 12, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• RX Outreach, Inc

  • Community/Retail Pharmacy
  • Dellwood, MO
  • NPI 1114793353
  NPD (past) Authorized official
• RX Outreach

  • Mail Order Pharmacy
  • Maryland Heights, MO
  • NPI 1235211467
  NPD (past)

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1205312261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10275 CLAYTON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241115",
            "telephone_number": "314-477-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3171 RIVERPORT TECH CENTER DR",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630434825",
            "telephone_number": "314-627-6121",
            "fax_number": "314-983-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRANCO MEDINA",
        "first_name": "SERGIO",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-12",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2016019830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Baechle
• Jayna Bailey
• Debabrata Banerji, M.D.
• Michelle Kay Bank, AGNP-C
• Scharma Banks, PLPC
• Amadu Barrie, NURSE PRACTITIONER
• Alicia Barringer
• Amy M. Bartels, D.C.
• Barbara Maureen Beckermann, LCSW
• Lisa Bedard, PHARMD

• Pharmacist in Maryland Heights, MO
• Providers in Maryland Heights, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.