Active NPI
Krummenacher Pharmacy
- Pharmacist
- Saint Louis, MO
National Provider Identifier
1326072513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 026126
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 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 DirectoryLocations
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.