Organization Active NPI

Krummenacher Pharmacy

  • Pharmacist
  • Saint Louis, MO
National Provider Identifier
1326072513
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
026126 Issued in MO
Legal business name
KRUMMENACHER PHARMACY
Practice address
11020 Olive Blvd
Saint Louis, MO 63141-7615
Phone
(314) 432-2727
Fax
(314) 432-5279
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Walter Lieberman, PHARMACIST
Title
Owner
Phone
(314) 432-2727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 026126 MO Primary

Addresses

Primary practice location

11020 Olive Blvd
Saint Louis, MO 63141-7615

Mailing address

11020 Olive Blvd
Saint Louis, MO 63141-7615
Phone (314) 432-2727

National Provider Directory

National Provider Directory

Locations

11020 Olive Blvd
Saint Louis, MO 63141
Phone (314) 432-2727

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326072513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11020 OLIVE BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417615",
            "telephone_number": "314-432-2727",
            "fax_number": "314-432-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 OLIVE BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417615",
            "telephone_number": "314-432-2727",
            "fax_number": "314-432-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRUMMENACHER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-432-2727",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "026126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.