Ladue Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

6534 Issued in MO

Legal business name

LADUE PHARMACY LLC

Practice address

9832 Clayton Rd
Saint Louis, MO 63124-1604

Phone

(314) 993-4031

Fax

(314) 993-0306

NPI assigned

Dec 29, 2017

Organization subpart

No

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

Authorized official

Name

Rick Williams

Title

Member

Phone

(314) 993-4031

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Ladue Pharmacy LLC Doing business as

Locations

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1306353354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9832 CLAYTON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241604",
            "telephone_number": "314-993-4031",
            "fax_number": "314-993-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9832 CLAYTON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241604",
            "telephone_number": "314-993-4031",
            "fax_number": "314-993-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADUE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-29",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "314-993-4031"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MO",
            "license": "6534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600899900",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2175165",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ladue Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Alexander Ladin, MD, PH.D.
• Moyosoreoluwa Morenike Laditan, MBBS
• Ladue Internal Medicine, LLC
• Ladue Optometry LLC
• Ladue Pharmacy LLC
• Ladue Physical Therapy and Personal Training, Inc
• Mary Alice Laduke
• Donald Roy Lafata, RPH
• Carolyn Ann Lafavre, MS
• Lafayette Preparatory Academy

• Long Term Care Pharmacy in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Long Term Care Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.