Barnes Jewish Hospital
Organization Active NPI Community/Retail Pharmacy · Saint Louis, MO
NPI 1245081058 · NPPES record last updated Oct 15, 2024
Key facts
- NPI
- 1245081058
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- BARNES JEWISH HOSPITAL
- Practice address
- 4500 Forest Park Ave
Saint Louis, MO 63108-2114 - Phone
- (314) 657-9013
- NPI assigned
- Mar 29, 2024
- Organization subpart
- No
Authorized official
- Name
- John Patrick Lynch
- Title
- President
- Phone
- (314) 362-5675
Owned or controlled facilities with NPI records 4
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 15
Member organizations 8
Practitioners 2
-
Azadeh Afshari, DDS
-
Vadim Yuri Baram, MD
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Family Care Oncology Pharmacy |
Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Barnes Jewish St. Peters Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Apr 24, 1996 |
| Barnes Jewish West County Hospital |
Hospital | Other | Sep 13, 1989 |
| Barnes-Jewish Hospital |
Hospital | Operational/Managerial Control | Sep 19, 2014 |
| Barnes-Jewish Extended Care |
Skilled nursing facility | Operational/Managerial Control Trustee of the SNF Adp of the SNF |
May 11, 1992 May 11, 1992 May 11, 1992 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240729003159 | MO | DME Supplier - Pharmacy | 8426055815 | Practice locations: Saint Louis, MO |
National Provider Directory
- Tax ID family
- BJC Behavioral Health S
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
4500 Forest Park Ave
Saint Louis, MO 63108-2114
Mailing address
4500 Forest Park Ave
Saint Louis, MO 63108-2114
Phone (314) 657-9013
Other names
- Family Care Oncology Pharmacy
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) | Barnes Jewish Hospital |
Other providers in Saint Louis, MO
- Barnes Jewish Hospital
- Barnes Jewish Hospital
- Barnes Jewish Hospital
- Barnes Jewish Hospital
- Barnes Jewish Hospital
- Barnes Jewish Hospital
- Barnes Jewish Hospital
- Barnes Jewish Hospital
- Barnes Jewish Hospital
- Barnes Jewish Hospital
All providers in Saint Louis, MO · Community/Retail Pharmacy in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.