Organization Active NPI

Powers Family Pharmacy LLC

Doing business as Powers Compounding Pharmacy

  • Community/Retail Pharmacy
  • O'Fallon, MO
National Provider Identifier
1255687398
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2012025803 Issued in MO
Legal business name
POWERS FAMILY PHARMACY LLC
Doing business as
Powers Compounding Pharmacy
Practice address
2315 Technology Dr Ste 113
O Fallon, MO 63368-7371
Phone
(636) 265-2924
Fax
(636) 265-1306
NPI assigned
Jul 26, 2012
Last updated
Jan 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Authorized official

Name
Mrs. Sharlene G. Powers, RPHNPI 1043758113
Title
Owner
Phone
(636) 699-8031

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
Community/Retail Pharmacy 3336C0003X 2012025803 MO Primary

Addresses

Primary practice location

2315 Technology Dr Ste 113
O Fallon, MO 63368-7371

Mailing address

2315 Technology Dr Ste 113
O Fallon, MO 63368-7371
Phone (636) 265-2924

Other names 1

  • Powers Compounding Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121226000373 MO Part B Supplier - Pharmacy 7214188127 Practice locations: O Fallon, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2045341Powers Compounding Pharmacy2315 Technology Dr Suite 113, O Fallon, MO 63368Certificate of waiverAug 9, 2026

National Provider Directory

National Provider Directory

Locations

2315 Technology Dr
Ste 113
O Fallon, MO 63368
Phone (636) 265-2924

7776 Winghaven Blvd
O Fallon, MO 63368
Phone (636) 265-2924

Practitioners & affiliated clinicians

Practitioners 5

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": "1343260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1255687398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 TECHNOLOGY DR STE 113",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687371",
            "telephone_number": "636-265-2924",
            "fax_number": "636-265-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 TECHNOLOGY DR STE 113",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687371",
            "telephone_number": "636-265-2924",
            "fax_number": "636-265-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWERS FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-26",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "SHARLENE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-699-8031",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2012025803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Powers Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in O'Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.