Dierbergs Markets Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

DIERBERGS MARKETS INC

Doing business as

Dierbergs Town Center Pharmacy

Practice address

2460 Taylor Rd
Grover, MO 63040-1222

Phone

(636) 458-7450

Fax

(636) 530-3002

NPI assigned

Oct 12, 2006

Last updated

Jan 30, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory Guenther

Title

Director of Pharmacy

Phone

(636) 812-1470

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• DIERBERGS TOWN CENTER PHARMACY Doing business as

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1265521934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1070",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630061070",
            "telephone_number": "636-812-1470",
            "fax_number": "636-812-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 TAYLOR RD",
            "city": "GROVER",
            "state": "MO",
            "postal_code": "630401222",
            "telephone_number": "636-458-7450",
            "fax_number": "636-530-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIERBERGS MARKETS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "GUENTHER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "636-812-1470"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MO",
            "license": "2003031656",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "606120103",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2635362",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIERBERGS TOWN CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dennis Rolando Bennett, RPH
• Deborah Berger, OTR
• Randal R Borroff, LCSW ACSW
• Hannah Carroll, LCSW
• Andrew Coop, CRNA
• Lorel Grace Dierker
• George Lewis Ellis, DDS
• Latisha Louise Fontana, M.ED. L.P.C.
• Jordan Fredrickson
• Susan R Hull, DO

• Community/Retail Pharmacy in Grover, MO
• Providers in Grover, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.