Genesis Enterprises Inc

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

2014004392 Issued in MO

Legal business name

GENESIS ENTERPRISES INC

Doing business as

Genesis Pharmacy Services

Practice address

1876 Craigshire Rd
Saint Louis, MO 63146-4006

Phone

(314) 485-8600

Fax

(314) 485-1049

NPI assigned

Nov 15, 2005

Last updated

Jan 15, 2016By 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

Frank Manion

Title

Owner

Phone

(314) 485-8600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Genesis Pharmacy Services Doing business as

Locations

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1316929599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1876 CRAIGSHIRE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464006",
            "telephone_number": "855-485-8600",
            "fax_number": "314-485-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1876 CRAIGSHIRE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464006",
            "telephone_number": "314-485-8600",
            "fax_number": "314-485-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "MANION",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-485-8600"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MO",
            "license": "2014004392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144441",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Pharmacy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Genesis Medical Associates, P.C.
• Genesis Pharmacy Services, LLC

• Compounding Pharmacy in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Compounding Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.