East Missouri Pharmacy Services, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

EAST MISSOURI PHARMACY SERVICES, LLC

Practice address

1447 U.S. Highway 61
Suite a
Crystal City, MO 63019

Phone

(636) 937-8228

Fax

(636) 937-8746

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Jokerst, PHARM.D.

Title

Manager

Phone

(636) 937-8228

Specialties & licenses 1

Addresses

Other names 1

• Twin City Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1215010095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 U.S. HIGHWAY 61",
            "address_2": "SUITE A",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "63028",
            "telephone_number": "636-937-8228",
            "fax_number": "636-937-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 U.S. HIGHWAY 61",
            "address_2": "SUITE A",
            "city": "CRYSTAL CITY",
            "state": "MO",
            "postal_code": "63019",
            "telephone_number": "636-937-8228",
            "fax_number": "636-937-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST MISSOURI PHARMACY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "JOKERST",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "636-937-8228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twin City Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Crystal City, MO
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.