Organization Active NPI

Midwest Long Term Care Services LLC

Doing business as Senior Scripts

  • Long Term Care Pharmacy
  • Chesterfield, MO
National Provider Identifier
1245241751
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
1999135462 Issued in MO
Legal business name
MIDWEST LONG TERM CARE SERVICES LLC
Doing business as
Senior Scripts
Practice address
739 Goddard Ave
Chesterfield, MO 63005-1106
Phone
(636) 534-6800
Fax
(636) 534-6797
NPI assigned
Aug 10, 2006
Last updated
Dec 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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

Authorized official

Name
Tracy LashbrookNPI 1982289799
Title
Director of Pharmacy
Phone
(636) 534-6800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 1999135462 MO Primary

Addresses

Primary practice location

739 Goddard Ave
Chesterfield, MO 63005-1106

Mailing address

739 Goddard Ave
Chesterfield, MO 63005-1106
Phone (636) 534-6800

Other identifiers 2

IdentifierTypeStateIssuer
604730408MedicaidMO
2048282OtherPK

Other names 1

  • Senior Scripts Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210310002112 MO Part B Supplier - Mass Immunization (Roster Biller Only) 6901212240 Practice locations: Chesterfield, MO

National Provider Directory

National Provider Directory

Locations

739 Goddard Ave
Chesterfield, MO 63005
Phone (314) 303-6755

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1245241751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 GODDARD AVE",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051106",
            "telephone_number": "636-534-6800",
            "fax_number": "636-534-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 GODDARD AVE",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051106",
            "telephone_number": "636-534-6800",
            "fax_number": "636-534-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST LONG TERM CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "LASHBROOK",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "636-534-6800"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MO",
            "license": "1999135462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "604730408",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2048282",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Scripts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.