Organization Active NPI

Care Pharmaccyllc

  • Community/Retail Pharmacy
  • Creve Coeur, MO
National Provider Identifier
1265725808
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2011012258 Issued in MO
Legal business name
CARE PHARMACCYLLC
Doing business as
care pharmaccyllc
Practice address
777 Craig Rd
Suite 135a
Creve Coeur, MO 63141-7138
Phone
(314) 997-3740
Fax
(314) 997-3742
NPI assigned
May 16, 2011
Last updated
May 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2011

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

Authorized official

Name
Neil Gerstein
Title
Pic
Phone
(314) 997-3740

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2011012258 MO Primary
Institutional Pharmacy 3336I0012X
Long Term Care Pharmacy 3336L0003X
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

777 Craig Rd
Suite 135a
Creve Coeur, MO 63141-7138

Mailing address

777 Craig Rd
Suite 135a
Creve Coeur, MO 63141-7138
Phone (314) 997-3740

Other identifiers 1

IdentifierTypeStateIssuer
2639699OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • care pharmaccyllc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Care Pharmaccyllc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1265725808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CRAIG RD",
            "address_2": "SUITE 135A",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417138",
            "telephone_number": "314-997-3740",
            "fax_number": "314-997-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CRAIG RD",
            "address_2": "SUITE 135A",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417138",
            "telephone_number": "314-997-3740",
            "fax_number": "314-997-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE PHARMACCYLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "GERSTEIN",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "314-997-3740"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2011012258",
            "primary": true
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2639699",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "care pharmaccyllc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; 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.