Rebecca Aku Mawuenyega, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

2007019763 Issued in MO

Practice address

11628 Old Ballas Rd Ste 227
Creve Coeur, MO 63141-7030

Phone

(314) 607-2603

NPI assigned

Mar 30, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dellwood Pharmacy LLC

  • Community/Retail Pharmacy
  • Saint Louis, MO
  • NPI 1194356667
  NPD Authorized official
• Houze Calls Pharmacists LLC

  • Diabetes Educator Registered Nurse
  • Saint Louis, MO
  • NPI 1871158287
  NPD (past) Authorized official

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1326314691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12982 NANCY LEE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464374",
            "telephone_number": "314-256-9732",
            "fax_number": "314-256-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11628 OLD BALLAS RD STE 227",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417030",
            "telephone_number": "314-607-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAWUENYEGA",
        "first_name": "REBECCA",
        "middle_name": "AKU",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-30",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "MO",
            "license": "2007019763",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00006654",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2007019763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "350063271",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allen E Mathieu, PAC,ATC,MS
• Bradley Steven Matthes, DDS
• Matthew Huetter DC PC
• Rose Mattli, NP
• Kathy C. Maupin, M.D.
• Vanessa Susan Mays, O.T
• Kevin Scott Mayse, LPC
• Eddie McCaskill, LPC LCSW NCC
• Kelsey L McDowell, BCBA
• Steven J McKenna

• Pharmacist in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.