Active NPI
Christian Ceretto, RPH
- Pharmacist
- University City, MO
National Provider Identifier
1275138380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2019039630
- Practice address
- 6920 Olive Blvd
University City, MO 63130-2516 - Phone
- (314) 721-3276
- NPI assigned
- Dec 4, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2019039630 | MO | Primary |
Addresses
Primary practice location
6920 Olive Blvd
University City, MO 63130-2516
Mailing address
6350 Makayla Brooke LN
Maryville, IL 62062
Phone (618) 795-1817
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019039630 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607040000000",
"number": "1275138380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6350 MAKAYLA BROOKE LN",
"city": "MARYVILLE",
"state": "IL",
"postal_code": "62062",
"telephone_number": "618-795-1817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6920 OLIVE BLVD",
"city": "UNIVERSITY CITY",
"state": "MO",
"postal_code": "631302516",
"telephone_number": "314-721-3276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERETTO",
"first_name": "CHRISTIAN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-04",
"last_updated": "2020-12-04",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2019039630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in University City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.